Tracy L Donahue
Irving, Texas · CCN 457956
2411 Gateway Drive Ste100
3 federal deficiencies across 2 surveys, January 26, 2023 to January 12, 2026.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level133.3%
- A requirement within a Condition of Participation. The Condition itself was not cited.
- Element-level266.7%
- A specific element within a Standard. The finest level the home health programme grades at.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Most-cited requirements
- G0372Encoding and transmitting OASIS1
- G0574Plan of care must include the following1
- G0614Visit schedule1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jan 12, 2026 | Recertification | 2 | — |
| Jan 26, 2023 | Complaint, Recertification | 1 | — |
In the inspector’s words
The complete written findings for this home health agency, in the inspector’s own words.
Home health findings published by CMS on QCOR, covering surveys from January 26, 2023 to January 12, 2026. The inspectors’ written findings come from 7,049 individual survey reports.
Federal survey findings only. State licensure findings for home health agencies are not shown.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction