S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 177169 Coffeyville Regional Medical Center 908 Siggins Coffeyville KS 7 (Kansas City) 01/18/2018 4TRQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0159 PLAN OF CARE Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
▼ 177176 Health Connect Staffing Llc 7381 W 133rd St. Suite 200 Overland Park KS 7 (Kansas City) 02/14/2024 62377-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0616 Patient medication schedule/instructions Element
G1022 Discharge and transfer summaries Element
▼ 177176 Health Connect Staffing Llc 7381 W 133rd St. Suite 200 Overland Park KS 7 (Kansas City) 01/12/2021 PIOZ11 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
G0862 Laboratory services/CLIA waivers Standard
▼ 177181 Atchison Hospital Association 705 Commercial St Atchison KS 7 (Kansas City) 10/02/2025 1D8331-H1 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
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 177181 Atchison Hospital Association 705 Commercial St Atchison KS 7 (Kansas City) 08/22/2022 4F504-H1 Focused Infection Control
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 177181 Atchison Hospital Association 705 Commercial St Atchison KS 7 (Kansas City) 06/24/2022 4EE04-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0412 Written notice of patient's rights Element
G0430 Be free from abuse Element
G0432 Make complaints to the HHA Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0438 Have a confidential clinical record Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0454 HHA can no longer meet the patient's needs Element
G0456 Patient/payer will no longer pay for services Element
G0458 Outcomes/goals have been achieved Element
G0460 Patient refuses services Element
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
▼ 177193 The University Of Kansas Health System Home Health - Olathe Llc 20920 W 151st St, Ste 204 Olathe KS 7 (Kansas City) 08/18/2022 4F371-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0550 At discharge Element
G0574 Plan of care must include the following Element
▼ 177216 Day By Day Staff Relief, Llc 8201 E 34th St Circle N, Ste 1503 Wichita KS 7 (Kansas City) 04/25/2025 65F12-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0514 RN performs assessment Element
G1022 Discharge and transfer summaries Element
▼ 177216 Day By Day Staff Relief, Llc 8201 E 34th St Circle N, Ste 1503 Wichita KS 7 (Kansas City) 03/04/2022 38456-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
▼ 177226 Home Town Health Care Llc 308 Neosho Street Burlington KS 7 (Kansas City) 10/10/2019 JB1N11 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