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
▼ 467322 Renew Home Health, Inc. 5280 South Commerce Drive, Suite E-160 Murray UT 8 (Denver) 10/20/2020 44NZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based on All Hazards Risk Assessment Standard
G0572 Plan of care Standard
G0686 Infection control education Standard
G0436 Receive all services in plan of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0614 Visit schedule Element
G1014 Interventions and patient response Element
▼ 467324 Alpha Home Health Care Llc - Southern Utah 1240 East 100 South, Suite 16-B St George UT 8 (Denver) 12/29/2022 5EA11-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G0642 Program scope Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
▼ 467326 Maple Creek Home Health & Hospice, Inc. 290 West Center Street Spanish Fork UT 8 (Denver) 05/16/2024 6318D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 467334 Brightenlife Home Health, Llc 6076 South 900 East Murray UT 8 (Denver) 04/08/2021 HWOT11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0686 Infection control education Standard
G0942 Governing body Standard
▼ 467335 Inspiration Home Health Llc 1649 East 1400 South, Suite 140 Clearfield UT 8 (Denver) 01/16/2019 M5TI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0682 Infection Prevention Standard
G0942 Governing body Standard
G0602 Communication with all physicians Element
G0972 Report all branch locations to SA Element
▼ 467336 Utah Homecare, Llc Dba Salus Home Health 9231 South Redwood Road, Bldg. 4 West Jordan UT 8 (Denver) 11/21/2018 B7DX11 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
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
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
G0544 Update of the comprehensive assessment Standard
G0600 Coordination of Care Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body Standard
G0436 Receive all services in plan of care Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0786 Unqualified HH aide providing services Element
G0812 Direct observation every 12 months Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 467336 Utah Homecare, Llc Dba Salus Home Health 9231 South Redwood Road, Bldg. 4 West Jordan UT 8 (Denver) 03/07/2018 58LV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
▼ 467337 Independence Home Care, Llc 707 West 700 South Woods Cross UT 8 (Denver) 03/06/2025 658F2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
▼ 467337 Independence Home Care, Llc 707 West 700 South Woods Cross UT 8 (Denver) 04/17/2019 CUKC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G1012 Required items in clinical record Element
▼ 467343 Solstice Home Health, Llc 1250 East 3900 South Salt Lake City UT 8 (Denver) 01/24/2023 5ED24-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0436 Receive all services in plan of care Element
G0592 Revised plan of care Element