S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
447407 Lhcg Xciii Llc 8000 Centerville Pkwy Suite 403 Cordova TN 4 (Atlanta) 01/30/2025 653C7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
447407 Lhcg Xciii Llc 8000 Centerville Pkwy Suite 403 Cordova TN 4 (Atlanta) 06/16/2023 60246-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
447408 Maury County 854 South James Campbell Blvd. Columbia TN 4 (Atlanta) 05/13/2026 2321C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
447424 Saint Thomas Home Health 135 East Swan St Centerville TN 4 (Atlanta) 02/16/2023 5F07E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0726 Nursing services supervised by RN Element
447425 Adoration Home Health Nashville South 126 West Jackson Street Cookeville TN 4 (Atlanta) 03/18/2026 1F55CC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
447425 Adoration Home Health Nashville South 126 West Jackson Street Cookeville TN 4 (Atlanta) 02/28/2023 5F25D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0606 Integrate all services Element
447444 Baptist Memorial Hospital - Huntingdon 641 Rb Wilson Dr Suite J Huntingdon TN 4 (Atlanta) 01/23/2025 652DA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
447444 Baptist Memorial Hospital - Huntingdon 641 Rb Wilson Dr Suite J Huntingdon TN 4 (Atlanta) 11/28/2018 C8JC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
447451 Hhc, Inc 1655 Wynne Road Cordova TN 4 (Atlanta) 11/03/2021 37DC1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0572 Plan of care Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
447466 Lifeline Home Health Care Of Springfield, Llc 2109 Park Plaza Suite 200 Springfield TN 4 (Atlanta) 09/29/2023 61117-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0600 Coordination of Care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element