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
▼ 167247 Heartland Home Care 308 A Ave E Oskaloosa IA 7 (Kansas City) 05/12/2021 K2VZ11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
▼ 167247 Heartland Home Care 308 A Ave E Oskaloosa IA 7 (Kansas City) 06/21/2018 MBO611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0372 Encoding and transmitting OASIS Standard
G0982 Skilled services furnished Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G1022 Discharge and transfer summaries Element
▼ 167249 Ultimate Nursing Services Of Iowa, Inc 3345 106th Cir Urbandale IA 7 (Kansas City) 10/24/2019 U2SG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0464 Advise the patient of discharge for cause Element
G0580 Only as ordered by a physician Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 02/04/2026 1E2C09-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0572 Plan of care Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 08/14/2024 63A73-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0039 EP Testing Requirements Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 08/12/2021 DJ4911 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
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0764 HH aide training program topics Element
G0800 Services provided by HH aide Element
G0812 Direct observation every 12 months Element
G1014 Interventions and patient response Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 08/29/2019 JLL211 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
G0750 Home health aide services Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0520 5 calendar days after start of care 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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 07/25/2019 V6WG11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0440 Payment from federally funded programs Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 06/05/2019 7IXA11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0764 HH aide training program topics Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
G0818 HH aide supervision elements Element
▼ 167267 Comfort Care Medicare Inc 4015 Glass Road Ne Cedar Rapids IA 7 (Kansas City) 05/22/2019 292J11 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
G0576 All orders recorded in plan of care Element