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
▼ 467344 Everest Home Health & Hospice, Llc 845 South Main Street, Suite 7a Bountiful UT 8 (Denver) 02/08/2024 62386-H1 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
G1008 Clinical records Condition
G0942 Governing body Standard
G0988 Institutional planning Standard
G0536 A review of all current medications Element
G0946 Administrator appointed by governing body Element
G0972 Report all branch locations to SA Element
▼ 467355 Ambrose Healthcare Llc 563 West 500 South Bountiful UT 8 (Denver) 09/05/2019 MIRP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0940 Organization and administration of services Condition
G0942 Governing body Standard
G0434 Participate in care Element
G0708 Development and evaluation of plan of care Element
▼ 467360 Star Kids, Llc 131 South 700 East, Suite 101 American Fork UT 8 (Denver) 04/23/2026 22FF53-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0574 Plan of care must include the following Element
▼ 467362 Temple View Home Health And Hospice, Llc 1525 East Ovation Place Washington UT 8 (Denver) 07/20/2021 1DSU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G0798 Home health aide assignments and duties Standard
G1072 Registered Nurse Standard
G0418 Patient's or legal representative's signature Element
G0514 RN performs assessment 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
G1022 Discharge and transfer summaries Element
▼ 467363 Rathburn Healthcare Llc 516 Ut Highway 162 Montezuma Creek UT 8 (Denver) 09/04/2025 1D6047-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0032 Primary/Alternate Means for Communication Standard
G0644 Program data Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 477002 Vna And Hospice Of Vermont And New Hampshire 88 Prospect Street White River Junction VT 1 (Boston) 04/22/2019 32IQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0806 Supervision of home health aides Standard
▼ 477007 Vna & Hospice Of The Southwest Region, Inc. 7 Albert Cree Rutland VT 1 (Boston) 12/14/2022 5E5C3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 477007 Vna & Hospice Of The Southwest Region, Inc. 7 Albert Cree Rutland VT 1 (Boston) 02/05/2019 YX5S11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
▼ 477018 Orleans Essex Vna Association & Hospice, Inc. 46 Lakemont Road Newport VT 1 (Boston) 07/19/2023 5EEFB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
G0428 Property and person treated with respect Element
▼ 477019 Bayada Home Health Care, Inc. 2 South Main Street Rutland VT 1 (Boston) 10/22/2019 BQ0O11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0654 Track adverse patient events Standard
G0606 Integrate all services Element