S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 447581 Adoration Home Health Llc 1210 Briarville Rd., Bldg. D, Ste. B Madison TN 4 (Atlanta) 09/20/2018 YK4311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 447582 Maxim Healthcare Services, Inc 1255 Lynnfield Rd, Suite 295 Memphis TN 4 (Atlanta) 11/18/2021 37F1F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
▼ 447584 Extended Health Care, Llc 7424 Highway 64, Suite 118, Ste A Bartlett TN 4 (Atlanta) 06/23/2023 602E3-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
G0686 Infection control education Standard
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
▼ 447586 Maxim Healthcare Services 208 Sunset Drive Suite 503 Johnson City TN 4 (Atlanta) 08/27/2019 3XSH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 453103 Angels Of Hands Home Health Agency Corp 1801 N Hampton Rd Ste 382 Desoto TX 6 (Dallas) 09/20/2018 M0BV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0642 Program scope Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
▼ 453107 Hana Home Health Care, Inc 223 W Anderson Lane Suite A110 Austin TX 6 (Dallas) 04/02/2026 22C9BF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 453112 Dove Home Care Llc 4105 W Spring Creek Prkwy, Suite 612 Plano TX 6 (Dallas) 12/06/2018 774I11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0614 Visit schedule Element
▼ 453115 Superior Home Health Services Llc 2108 South M St Suite 9 Mcallen TX 6 (Dallas) 06/15/2018 LME111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0034 Information on Occupancy/Needs Standard
E0039 EP Testing Requirements Standard
G0684 Infection control Standard
G1010 Contents of clinical record Standard
G0412 Written notice of patient's rights Element
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 453118 Med Global Home Health Care Inc 18601 Lyndon B Johnson Fwy # 660 Mesquite TX 6 (Dallas) 11/13/2024 64A19-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 453120 Vemax Healthcare Services Inc 10715 Valley Hills Drive Houston TX 6 (Dallas) 04/13/2018 H7DI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard