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
▼ 167003 Waterloo Visiting Nurse Association 2530 University Avenue Waterloo IA 7 (Kansas City) 12/07/2023 6192D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0848 Compliance with Federal, State, Local Law Condition
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0818 HH aide supervision elements Element
▼ 167003 Waterloo Visiting Nurse Association 2530 University Avenue Waterloo IA 7 (Kansas City) 12/20/2021 37F9B-H1 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
G0750 Home health aide services Condition
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
G0546 Last 5 days of every 60 days unless: Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 167003 Waterloo Visiting Nurse Association 2530 University Avenue Waterloo IA 7 (Kansas City) 12/10/2020 VN2L11 Focused Infection Control, Other-Fed, 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
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0800 Services provided by HH aide Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 167003 Waterloo Visiting Nurse Association 2530 University Avenue Waterloo IA 7 (Kansas City) 06/28/2018 085911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0037 EP Training Program Standard
G0768 Competency evaluation Standard
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
▼ 167005 Unity Point At Home 290 Blairs Ferry Road Ne, Suite 300 Cedar Rapids IA 7 (Kansas City) 04/12/2018 325X11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0684 Infection control Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0656 Improvements are sustained Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 167012 Genesis Health System 2535 Maplecrest Road, Suite 8 Bettendorf IA 7 (Kansas City) 01/09/2025 650AC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0682 Infection Prevention Standard
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0470 Document efforts to resolve problems Element
G0536 A review of all current medications Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 167012 Genesis Health System 2535 Maplecrest Road, Suite 8 Bettendorf IA 7 (Kansas City) 01/25/2022 38238-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 167012 Genesis Health System 2535 Maplecrest Road, Suite 8 Bettendorf IA 7 (Kansas City) 01/31/2019 WIRC11 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
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0037 EP Training Program Standard
G0768 Competency evaluation Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
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
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0814 Non-skilled direct observation every 60 days Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 167014 Visiting Nurse Association Of Johnson County 1524 Sycamore Street Iowa City IA 7 (Kansas City) 01/27/2022 38116-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 167024 Mary Greeley Medical Center 1114 Duff Avenue Ames IA 7 (Kansas City) 12/12/2023 61930-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0772 Documentation of competency evaluation Element
G0800 Services provided by HH aide Element