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
▼ 459319 Gold Horses Llc 411 N. King Street Alice TX 6 (Dallas) 08/16/2019 KH8D12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0143 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 459319 Gold Horses Llc 411 N. King Street Alice TX 6 (Dallas) 03/25/2019 CT3611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0482 Mistreatment, neglect or abuse Element
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 459319 Gold Horses Llc 411 N. King Street Alice TX 6 (Dallas) 06/15/2018 Q5K211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 459323 A One Plus Home Health Care Agency Llc 107 North Cedar Ridge Drive Suite 112 Duncanville TX 6 (Dallas) 02/11/2020 E5GY11 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G1024 Authentication Standard
G0442 Written notice for non-covered care Element
G0968 Assure implementation of plan of care Element
▼ 459373 Sure Home Health Services Llc 12115 Self Plaza Dr Dallas TX 6 (Dallas) 04/25/2025 65F50-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
▼ 459373 Sure Home Health Services Llc 12115 Self Plaza Dr Dallas TX 6 (Dallas) 05/24/2022 4EBD4-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
G0952 Ensure that HHA employs qualified personnel Element
▼ 459373 Sure Home Health Services Llc 12115 Self Plaza Dr Dallas TX 6 (Dallas) 04/29/2019 43UT12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0108 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 459375 Village Choice Health Care Inc 2410 Laurel St, Beaumont Beaumont TX 6 (Dallas) 07/08/2020 61DV11 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
G0574 Plan of care must include the following Element
▼ 459377 Superior Home Health Of Eagle Pass Llc 3147 Megan Trail, Suite 5 Eagle Pass TX 6 (Dallas) 03/23/2018 ITGG11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0550 At discharge Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 459381 Eh Of Fort Worth Lp 300 N Highland Ave Ste 510 Sherman TX 6 (Dallas) 05/23/2019 ZV3L12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0159 PLAN OF CARE Standard