S&C QCOR HHA 2567s
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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
▼ 457899 Linda Marie Motherwell 418 West Main Street Nacogdoches TX 6 (Dallas) 02/14/2019 IPP411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 457905 Treasure Life Healthcare Services Incorporated 8111 Lbj Freeway, Suite 1330a Dallas TX 6 (Dallas) 11/15/2019 56BQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 457906 National Medical Homecare Inc 1000 Crown Ridge Blvd Suite F Eagle Pass TX 6 (Dallas) 10/07/2021 OLD911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0372 Encoding and transmitting OASIS Standard
▼ 457906 National Medical Homecare Inc 1000 Crown Ridge Blvd Suite F Eagle Pass TX 6 (Dallas) 10/12/2018 89CC12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0159 PLAN OF CARE Standard
▼ 457910 Honorcare Home Health Inc 7551 Callaghan Suite 102 A San Antonio TX 6 (Dallas) 12/08/2022 5E6EC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
G0372 Encoding and transmitting OASIS Standard
G0684 Infection control Standard
G0860 Licensing Standard
G1010 Contents of clinical record Standard
G0584 Verbal orders Element
G0978 Must have a written agreement Element
▼ 457910 Honorcare Home Health Inc 7551 Callaghan Suite 102 A San Antonio TX 6 (Dallas) 01/28/2020 71LV12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0137 ADMINISTRATOR Standard
G0139 SUPERVISING PHYSICIAN OR REGIS. NURSE Standard
G0146 SERVICES UNDER ARRANGEMENTS Standard
G0152 GROUP OF PROFESSIONAL PERSONNEL Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0236 CLINICAL RECORDS Standard
G0243 EVALUATION OF THE AGENCY'S PROGRAM Standard
G0323 TRANSMITTAL OF OASIS DATA Standard
G0341 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 457911 New Star Realty Inc 2307 Oak Lane # 116 Grand Prairie TX 6 (Dallas) 02/07/2025 65456-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
E0037 EP Training Program Standard
G1024 Authentication Standard
G0602 Communication with all physicians Element
G0720 Participate in the HHA's QAPI program; Element
▼ 457912 Summit Homecare Services Llc 100 Ne Loop 410, Ste 1500-A San Antonio TX 6 (Dallas) 08/07/2025 1D2372-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
G0536 A review of all current medications Element
▼ 457912 Summit Homecare Services Llc 100 Ne Loop 410, Ste 1500-A San Antonio TX 6 (Dallas) 10/23/2019 S2KL12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0102 NOTICE OF RIGHTS Standard
G0135 ADMINISTRATOR Standard
G0143 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0236 CLINICAL RECORDS Standard
▼ 457916 Proteam Healthcare Inc 7400 Harwin Drive Suite 315 Houston TX 6 (Dallas) 04/27/2018 416512 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0321 ENCODING OASIS DATA Standard