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
▼ 457965 A C T Home Health Inc 4401 N I 35 Unit 208 Denton TX 6 (Dallas) 05/08/2024 63046-H1 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
G0372 Encoding and transmitting OASIS Standard
▼ 457970 Cuddle Me Home Care Pllc 10935 Estate Ln Ste 190 Dallas TX 6 (Dallas) 03/29/2021 GK3B11 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
G0442 Written notice for non-covered care Element
▼ 457971 Amanecer Home Health Care Llc 508 W Expressway 83 Mcallen TX 6 (Dallas) 05/15/2018 X8FW12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 457975 Encompass Of Fort Worth Lp 6500 West Fwy Ste 452 Fort Worth TX 6 (Dallas) 12/17/2024 64E55-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 457977 Home Health Plus Inc 12115 Self Plaza Dr Dallas TX 6 (Dallas) 08/14/2023 604A0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G1022 Discharge and transfer summaries Element
▼ 457980 American Healthcare Concepts Inc 609 North Ebrite Street Suite 103 Mesquite TX 6 (Dallas) 03/03/2023 5F3E5-H1 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
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
▼ 457981 Mj Home Health Agency Inc 3939 East Us Highway 80, Suite 428 Mesquite TX 6 (Dallas) 07/18/2023 602FA-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
G0574 Plan of care must include the following Element
▼ 457983 Mmcare Llc 404 E Ramsey Rd Ste 105 San Antonio TX 6 (Dallas) 05/02/2024 62E8F-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
▼ 457983 Mmcare Llc 404 E Ramsey Rd Ste 105 San Antonio TX 6 (Dallas) 02/14/2018 ONJZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0968 Assure implementation of plan of care Element
▼ 457984 Shalem Home Health Care Inc 2611 N Beltline Road Suite #127 Sunnyvale TX 6 (Dallas) 12/01/2025 1DC885-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0588 Reviewed, revised by physician every 60 days Element
G0968 Assure implementation of plan of care Element