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
▼ 177242 Caregivers, Inc. 3715 Sw 29th St Topeka KS 7 (Kansas City) 07/22/2022 4F07B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0728 Rehab services supervised by PT, OT Element
▼ 177242 Caregivers, Inc. 3715 Sw 29th St Topeka KS 7 (Kansas City) 11/24/2020 B4T311 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0442 Written notice for non-covered care Element
G0598 Discharge plans communication Element
▼ 177243 Greenwood County Hospital Hha 100 W 16th Eureka KS 7 (Kansas City) 02/14/2019 DUCH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G1010 Contents of clinical record Standard
▼ 177254 Labette Health Foundation Inc 1902 S Hwy 59 Parsons KS 7 (Kansas City) 09/15/2023 60F72-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
G0434 Participate in care Element
G0718 Communication with physicians Element
▼ 177272 Holton Home Health Llc 103 W. 4th Street Holton KS 7 (Kansas City) 09/25/2024 643B5-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
G0580 Only as ordered by a physician Element
▼ 177272 Holton Home Health Llc 103 W. 4th Street Holton KS 7 (Kansas City) 10/09/2021 RL1Y11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1072 Registered Nurse Standard
G0536 A review of all current medications Element
G0728 Rehab services supervised by PT, OT Element
G0966 Assure patient needs are continually assessed Element
G1014 Interventions and patient response Element
▼ 177274 Wetzel Enteprises, Llc 113 S. 5th Street Salina KS 7 (Kansas City) 11/02/2022 4F26F-H1 Recertification
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
E0036 EP Training and Testing Standard
G0642 Program scope Standard
▼ 177275 Ness County Hospital Hospital District 2 306 E Cedar Ness City KS 7 (Kansas City) 01/25/2023 5EB9E-H1 Recertification
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
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
▼ 177275 Ness County Hospital Hospital District 2 306 E Cedar Ness City KS 7 (Kansas City) 09/27/2018 G1BT11 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
▼ 177286 Lakeview Village Home Health 9100 Park, Ste 200-C Lenexa KS 7 (Kansas City) 06/30/2023 6028C-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
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G1022 Discharge and transfer summaries Element