S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 047823 Kah Development 4, Llc 1707 Linwood Drive Ste E Paragould AR 6 (Dallas) 09/11/2020 YH3I11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
▼ 047824 Kah Development 4, Llc 209 South Main Street Hope AR 6 (Dallas) 01/05/2023 5E9C5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
▼ 047824 Kah Development 4, Llc 209 South Main Street Hope AR 6 (Dallas) 10/09/2019 BZO211 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0612 Written instructions to patient include: Standard
G0984 In accordance with current clinical practice Element
▼ 047838 Kah Development 4, Llc 210 N State Line Avenue, Suite 501 Texarkana AR 6 (Dallas) 03/28/2024 62A91-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047838 Kah Development 4, Llc 210 N State Line Avenue, Suite 501 Texarkana AR 6 (Dallas) 09/10/2021 U35Y11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1014 Interventions and patient response Element
▼ 047838 Kah Development 4, Llc 210 N State Line Avenue, Suite 501 Texarkana AR 6 (Dallas) 03/07/2018 YHDC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 047840 Kah Development 4, Llc 409 West Fouth Street Brinkley AR 6 (Dallas) 03/02/2023 5F30A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 047840 Kah Development 4, Llc 409 West Fouth Street Brinkley AR 6 (Dallas) 01/17/2020 HSDT11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 047844 Kah Development 4, Llc 222 West Washington Street Camden AR 6 (Dallas) 07/13/2023 60723-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 047844 Kah Development 4, Llc 222 West Washington Street Camden AR 6 (Dallas) 02/14/2020 JFGS11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0612 Written instructions to patient include: Standard
G1012 Required items in clinical record Element