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
▼ 177045 Integrity Home Care Of Kansas, Llc 1711 S National, Ste A Fort Scott KS 7 (Kansas City) 11/03/2022 5E42F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
▼ 177059 Newton Healthcare Corporation 1715 Medical Pkwy, Ste 100 Newton KS 7 (Kansas City) 11/13/2023 616DC-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
G0710 Provide services in the plan of care Element
▼ 177059 Newton Healthcare Corporation 1715 Medical Pkwy, Ste 100 Newton KS 7 (Kansas City) 05/09/2019 KCPL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
▼ 177060 Neosho Memorial Regional Medical Center 1709 W 7th St Chanute KS 7 (Kansas City) 01/10/2019 IS4711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0704 Responsibilities of skilled professionals Standard
G0584 Verbal orders Element
▼ 177062 Sumner County Home Health Agency 217 W 8th St, Ste 2 Wellington KS 7 (Kansas City) 09/29/2023 61163-H1 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
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0616 Patient medication schedule/instructions Element
G0808 Onsite supervisory visit every 14 days Element
▼ 177064 Good Shepherd Homecare And Hospice, Inc. 3801 Vanesta Dr Manhattan KS 7 (Kansas City) 12/06/2023 619F1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures 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
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0452 Transfer and discharge Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 177065 The University Of Kansas Health System Home Health Great Bend, Llc 3421 Forrest Great Bend KS 7 (Kansas City) 04/14/2022 38859-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0660 Executive responsibilities for QAPI Standard
▼ 177070 Great Plains Of Sabetha Inc 14th & Oregon Sabetha KS 7 (Kansas City) 04/04/2024 62A85-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0530 Strengths, goals, and care preferences Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 177077 Phillips County Health Dept And Hha 784 6th St Phillipsburg KS 7 (Kansas City) 03/29/2018 XTGB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
▼ 177078 Rooks County Home Health Agency 426 Main Stockton KS 7 (Kansas City) 02/28/2019 K06911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element