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
▼ 167432 Open Arms Home Health Care - Council Bluffs, Llc 2306 Sherwood Drive Co Bluffs IA 7 (Kansas City) 10/31/2019 OTHM11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
G1008 Clinical records Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS 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
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G0440 Payment from federally funded programs 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
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery 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
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
G1022 Discharge and transfer summaries Element
▼ 167434 Pure Health Services, Llc 201 N 7th Street Clarinda IA 7 (Kansas City) 08/28/2023 607B7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0430 Be free from abuse Element
▼ 167435 Open Arms Home Health Care - Des Moines, Llc 1331 Idaho Street Des Moines IA 7 (Kansas City) 07/24/2025 66743-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0572 Plan of care Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0812 If area of concern is noted Element
▼ 167435 Open Arms Home Health Care - Des Moines, Llc 1331 Idaho Street Des Moines IA 7 (Kansas City) 07/16/2020 MIZO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
▼ 167436 Emedicial Group Of Iofwa No.2 Llc 3125 Douglas Avenue Suite 205 Des Moines IA 7 (Kansas City) 12/17/2025 1DC985-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
▼ 167436 Emedicial Group Of Iofwa No.2 Llc 3125 Douglas Avenue Suite 205 Des Moines IA 7 (Kansas City) 12/12/2024 64E2C-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
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 167436 Emedicial Group Of Iofwa No.2 Llc 3125 Douglas Avenue Suite 205 Des Moines IA 7 (Kansas City) 03/08/2023 5F105-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
▼ 167436 Emedicial Group Of Iofwa No.2 Llc 3125 Douglas Avenue Suite 205 Des Moines IA 7 (Kansas City) 09/12/2019 LF4W11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0418 Patient's or legal representative's signature Element
▼ 167439 Nit Home Health & Therapy Llc 1415 28th St Suite 240 West Des Moines IA 7 (Kansas City) 08/20/2025 1D203E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0972 Report all branch locations to SA Element
▼ 167442 Compassion North America Home Health Services Corp 2841 Johnson Avenue Nw Ste 3 Cedar Rapids IA 7 (Kansas City) 04/08/2026 22CC2D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element