S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

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
178012 Proactive Home Care Llc 3450 N Rock Rd, Bldg 200, Ste 213 Wichita KS 7 (Kansas City) 02/01/2018 6SCQ11 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
G0574 Plan of care must include the following Element
178020 Appl Orchard Inc 7730 Hedge Lane Terr Shawnee KS 7 (Kansas City) 08/02/2018 C10S11 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
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
178048 D & P Homecare, Inc 1354 N Main St Mcpherson KS 7 (Kansas City) 08/15/2022 4F270-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
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0642 Program scope Standard
178048 D & P Homecare, Inc 1354 N Main St Mcpherson KS 7 (Kansas City) 03/15/2018 BO6111 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
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
178050 The Evangelical Lutheran Good Samaritan Society 217 E Hwy 36 St Francis KS 7 (Kansas City) 11/09/2023 614E9-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
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
178050 The Evangelical Lutheran Good Samaritan Society 217 E Hwy 36 St Francis KS 7 (Kansas City) 09/25/2019 O0K011 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
178051 Blessed Trinity Home Care, Inc 6376 College Blvd Overland Park KS 7 (Kansas City) 04/07/2023 5F80E-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
G0512 Standard: Initial assessment visit. Standard
G0682 Infection Prevention Standard
G0414 HHA administrator contact information Element
G0418 Patient's or legal representative's signature Element
G0484 Document complaint and resolution Element
G0584 Verbal orders Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
178051 Blessed Trinity Home Care, Inc 6376 College Blvd Overland Park KS 7 (Kansas City) 12/20/2018 X1IQ11 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
G0606 Integrate all services Element
178055 L & C Home Health Agency Inc 1105 Taylor Ave Colby KS 7 (Kansas City) 03/13/2024 6272B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
178055 L & C Home Health Agency Inc 1105 Taylor Ave Colby KS 7 (Kansas City) 04/25/2019 8HYQ11 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
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element