S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 467248 Horizon Home Health 11 East 200 North Orem UT 8 (Denver) 10/24/2019 ZNUS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0574 Plan of care must include the following Element
G0596 Revisions communicated to patient and MDs Element
▼ 467251 Alpha Home Health Care Llc 257 South Orem Boulevard Orem UT 8 (Denver) 12/09/2019 U3YI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
▼ 467252 Grey Wind Llc 83 South 2600 West Hurricane UT 8 (Denver) 02/24/2022 3857B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G0520 5 calendar days after start of care Element
G0576 All orders recorded in plan of care Element
G0716 Preparing clinical notes Element
▼ 467252 Grey Wind Llc 83 South 2600 West Hurricane UT 8 (Denver) 04/03/2019 D3CU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment of the Emergency Program (EP) Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0514 RN performs assessment Element
G0516 Skilled professional performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 467253 Access Home Care - Salt Lake City 382 East 400 South Springville UT 8 (Denver) 09/27/2018 44V011 Recertification
Deficiency Tag Deficiency Description Tag Type
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
G1008 Clinical records Condition
G0572 Plan of care Standard
G0862 Laboratory services/CLIA waivers Standard
G0942 Governing body Standard
G1010 Contents of clinical record Standard
G0414 HHA administrator contact information Element
G0444 State toll free HH telephone hotline Element
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
▼ 467257 Unified Health Services, Llc 1751 W Alexander Street, Suite 106 West Valley City UT 8 (Denver) 12/05/2022 5E6DA-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
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
▼ 467316 Cascade Springs Home Healthcare 1733 South 1100 East Salt Lake City UT 8 (Denver) 12/17/2019 DO0I11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
▼ 467320 Primary Home Health 3300 North Running Creek Way Lehi UT 8 (Denver) 05/04/2023 5FB5D-H1 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0031 Emergency Officials Contact Information Standard
G0416 OASIS privacy notice Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
G1022 Discharge and transfer summaries Element
▼ 467320 Primary Home Health 3300 North Running Creek Way Lehi UT 8 (Denver) 03/12/2020 EQ6411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 467321 Activus, Llc 8180 South 700 East, Suite 100 Sandy UT 8 (Denver) 04/20/2022 38931-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard