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
▼ 167292 Family Touch Home Health Llc 1601 Mcpherson Avenue Ste 500 Council Bluffs IA 7 (Kansas City) 01/11/2022 3815B-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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
▼ 167292 Family Touch Home Health Llc 1601 Mcpherson Avenue Ste 500 Council Bluffs IA 7 (Kansas City) 06/09/2021 H8SX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
▼ 167292 Family Touch Home Health Llc 1601 Mcpherson Avenue Ste 500 Council Bluffs IA 7 (Kansas City) 01/10/2019 3YUQ11 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
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 167292 Family Touch Home Health Llc 1601 Mcpherson Avenue Ste 500 Council Bluffs IA 7 (Kansas City) 09/06/2018 F7SD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0428 Property and person treated with respect Element
G0608 Coordinate care delivery Element
▼ 167293 Cargivers Of Chariton Llc 1010 North 7th Street Chariton IA 7 (Kansas City) 01/29/2025 650B1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
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
▼ 167293 Cargivers Of Chariton Llc 1010 North 7th Street Chariton IA 7 (Kansas City) 02/09/2022 38402-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
▼ 167293 Cargivers Of Chariton Llc 1010 North 7th Street Chariton IA 7 (Kansas City) 01/08/2020 M4YY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 167293 Cargivers Of Chariton Llc 1010 North 7th Street Chariton IA 7 (Kansas City) 02/26/2019 LKI811 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
G0768 Competency evaluation Standard
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
G0718 Communication with physicians Element
G0818 HH aide supervision elements Element
▼ 167294 Skyline Center Inc Home Health 2600 North Fourth Street Clinton IA 7 (Kansas City) 01/14/2026 1DF746-H1 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
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 167294 Skyline Center Inc Home Health 2600 North Fourth Street Clinton IA 7 (Kansas City) 12/01/2022 5E13A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
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
G0576 All orders recorded in plan of care Element