S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 467030 Ihc Health Services Inc. 11520 South Redwood Road South Jordan UT 8 (Denver) 01/30/2018 ZS2511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
▼ 467033 Ihc Health Services, Inc 555 South Bluff Street St George UT 8 (Denver) 02/20/2024 62490-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 467033 Ihc Health Services, Inc 555 South Bluff Street St George UT 8 (Denver) 02/08/2018 5E2L11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0608 Coordinate care delivery Element
▼ 467051 At Home Nursing Care, Llc 404 East 4500 South, Suite A-24 Salt Lake City UT 8 (Denver) 02/15/2018 B6BC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment of the Emergency Program (EP) Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0988 Institutional planning Standard
G1010 Contents of clinical record Standard
G1028 Protection of records Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
G1022 Discharge and transfer summaries Element
▼ 467071 First Choice Home Health And Hospice Specialists Inc 560 West 800 North Orem UT 8 (Denver) 09/30/2020 W7X311 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
E0042 Integrated EP Program Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0942 Governing body Standard
G0436 Receive all services in plan of care Element
G0486 Protect patient during investigation Element
G0582 Influenza and pneumococcal vaccines Element
G0590 Promptly alert relevant physician of changes Element
G0978 Must have a written agreement Element
▼ 467071 First Choice Home Health And Hospice Specialists Inc 560 West 800 North Orem UT 8 (Denver) 09/04/2019 69VD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
▼ 467071 First Choice Home Health And Hospice Specialists Inc 560 West 800 North Orem UT 8 (Denver) 02/07/2019 KMSU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0017 HHA Comprehensive Assessment in Disaster Standard
E0036 EP Training and Testing Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element
▼ 467106 Health Watch Provo, Inc. 1485 East 840 North Orem UT 8 (Denver) 05/18/2021 0I6D11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
▼ 467108 Superior Home Care, Inc. 184 East 5900 South Murray UT 8 (Denver) 08/15/2018 PFXW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0582 Influenza and pneumococcal vaccines Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 467110 Specialty Nursing Services Home Health Llc 620 South 9500 East Huntsville UT 8 (Denver) 09/18/2019 RH4J11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard