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
▼ 458093 Tempcare Homehealth Services Inc 5 Cove Cir Ste A Brownsville TX 6 (Dallas) 05/20/2021 37F2C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0564 Discharge or Transfer Summary Content Standard
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
▼ 458093 Tempcare Homehealth Services Inc 5 Cove Cir Ste A Brownsville TX 6 (Dallas) 05/29/2018 M6TU11 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
E0037 EP Training Program Standard
G1010 Contents of clinical record Standard
G0536 A review of all current medications Element
G0588 Reviewed, revised by physician every 60 days Element
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0978 Must have a written agreement Element
▼ 458093 Tempcare Homehealth Services Inc 5 Cove Cir Ste A Brownsville TX 6 (Dallas) 05/29/2018 UP8512 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0163 PERIODIC REVIEW OF PLAN OF CARE Standard
G0236 CLINICAL RECORDS Standard
▼ 458099 Kmtm Enterprises, Inc. 2550 North Loop Freeway West, #220 Houston TX 6 (Dallas) 11/27/2018 L13E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0590 Promptly alert relevant physician of changes Element
G0718 Communication with physicians Element
▼ 458112 Citywide Home Health Services Inc 7700 Main Suite 230 Houston TX 6 (Dallas) 03/15/2018 I70I11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element
▼ 458125 Custom Care Healthcare Inc 6410 Southwest Blvd, Suite 127 Benbrook TX 6 (Dallas) 01/17/2024 61EAB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0614 Visit schedule Element
▼ 458134 Exclusive Home Health And Hospice Inc 202 N St Mary'S Street Beeville TX 6 (Dallas) 01/27/2023 5ED15-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0032 Primary/Alternate Means for Communication Standard
▼ 458178 Bridgeway Health Services Llc 3880 Hulen St Suite 670 Fort Worth TX 6 (Dallas) 07/19/2022 4F120-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0602 Communication with all physicians Element
G0962 Coordinate patient care Element
▼ 458191 North Runnels County Hospital 500 S Main Street Winters TX 6 (Dallas) 08/30/2018 YTC811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
▼ 458194 Shh Standards Home Health Inc 2027 South 61st Street Suite 114 Temple TX 6 (Dallas) 10/19/2018 H9WW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G0726 Nursing services supervised by RN Element