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
▼ 059134 Sinai Home Healthcare, Inc 7961 W 3rd St Unit A Los Angeles CA 9 (San Francisco) 05/08/2019 4K5Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0718 Communication with physicians Element
G0720 Participate in the HHA's QAPI program; Element
G0726 Nursing services supervised by RN Element
G1022 Discharge and transfer summaries Element
▼ 059137 Carepointe Home Health Services, Inc 454 E Carson Plaza Dr, Suite 209 Carson CA 9 (San Francisco) 09/11/2022 4F5C8-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
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
▼ 059137 Carepointe Home Health Services, Inc 454 E Carson Plaza Dr, Suite 209 Carson CA 9 (San Francisco) 09/23/2019 TQR311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
▼ 059137 Carepointe Home Health Services, Inc 454 E Carson Plaza Dr, Suite 209 Carson CA 9 (San Francisco) 07/22/2019 U72M11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0580 Only as ordered by a physician Element
▼ 059137 Carepointe Home Health Services, Inc 454 E Carson Plaza Dr, Suite 209 Carson CA 9 (San Francisco) 10/18/2018 YK0P11 Complaint, Sample Validation
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
G0574 Plan of care must include the following Element
▼ 059141 Urgent Home Health Care, Inc 17315 Studebaker Road, Suite 310 Cerritos CA 9 (San Francisco) 12/24/2019 H1H111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0952 Ensure that HHA employs qualified personnel Element
▼ 059147 Caritas Home Health Providers, Inc 209 East Alameda Avenue #203 Burbank CA 9 (San Francisco) 04/14/2023 5F7DC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition Element
▼ 059152 Grapevine Homecare, Inc 4032 Wilshire Blvd, Suite 404 Los Angeles CA 9 (San Francisco) 04/11/2019 G6IU11 Recertification
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
▼ 059160 Eastern Home Health, Inc 9578 2nd Avenue, Suite 100 Elk Grove CA 9 (San Francisco) 11/19/2024 64B32-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 059165 Magnolia Home Health Care Services, Inc 3314 W Burbank Blvd Burbank CA 9 (San Francisco) 09/02/2022 4F510-H1 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
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element
G0778 Documentation of inservice training Element