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
▼ 167322 Iowa Home Care, Llc 13133 Angle Road Ottumwa IA 7 (Kansas City) 12/07/2021 9CSL11 Complaint
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
G1008 Clinical records Condition
G0798 Home health aide assignments and duties Standard
G1028 Protection of records Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge 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
G0608 Coordinate care delivery Element
G0788 Org. had partial/extended survey Element
G0800 Services provided by HH aide Element
G0814 Non-skilled direct observation every 60 days Element
G1022 Discharge and transfer summaries Element
▼ 167322 Iowa Home Care, Llc 13133 Angle Road Ottumwa IA 7 (Kansas City) 08/04/2021 CZY711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
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
G0606 Integrate all services Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 167325 Ultimate Nursing Services Of Iowa Llc 518 8th Street Suite B Sioux City IA 7 (Kansas City) 04/25/2019 5SG411 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0430 Be free from abuse Element
G0550 At discharge Element
G0590 Promptly alert relevant physician of changes Element
▼ 167326 Nurse In The House, Inc Central Iowa 600 East Court Avenue, Suite 201 Des Moines IA 7 (Kansas City) 07/17/2024 63611-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 167400 Recover Health Of Iowa, Inc 2900 Westown Parkway Suite 210 West Des Moines IA 7 (Kansas City) 07/20/2022 4ED36-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 167400 Recover Health Of Iowa, Inc 2900 Westown Parkway Suite 210 West Des Moines IA 7 (Kansas City) 07/22/2020 MGJ111 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 167402 Heights Home Health, Inc. 114 North 4th Street, Suite C Mapleton IA 7 (Kansas City) 02/11/2026 1E25D1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 167402 Heights Home Health, Inc. 114 North 4th Street, Suite C Mapleton IA 7 (Kansas City) 02/23/2023 5ED94-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
▼ 167402 Heights Home Health, Inc. 114 North 4th Street, Suite C Mapleton IA 7 (Kansas City) 02/06/2020 NW6T11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0590 Promptly alert relevant physician of changes Element
G1014 Interventions and patient response Element
▼ 167405 Great Plains Healthcare, Inc. 201 1st Street Sw Suite A Clarion IA 7 (Kansas City) 09/08/2022 4F529-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element