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
▼ 178056 Faith Home Health & Hospice, Llc 9229 East 37th Street N., Suite 102-A Wichita KS 7 (Kansas City) 04/26/2018 QZB411 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
G0714 Patient and caregiver education Element
▼ 178060 Wheatland Health Services Llc 818 S Santa Fe Ave, Suites B & C Chanute KS 7 (Kansas City) 09/12/2022 4F555-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0604 Integrate all orders Element
G0608 Coordinate care delivery Element
▼ 178061 Health Watch Health Care Of Liberal, Llc 1701 N Kansas Ave, Ste 106 Liberal KS 7 (Kansas City) 11/15/2018 UHM211 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
▼ 178064 The Evangelical Lutheran Good Samaritan Society 2710 Canal Blvd Hays KS 7 (Kansas City) 01/23/2024 61FF3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
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
▼ 178064 The Evangelical Lutheran Good Samaritan Society 2710 Canal Blvd Hays KS 7 (Kansas City) 08/24/2022 4F3E6-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
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 178064 The Evangelical Lutheran Good Samaritan Society 2710 Canal Blvd Hays KS 7 (Kansas City) 08/16/2018 HUNL11 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
G0536 A review of all current medications Element
G0606 Integrate all services Element
▼ 178067 Residential Home Health Of Kansas 13002 Stateline Rd Leawood KS 7 (Kansas City) 08/08/2024 63CCB-H1 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
G0702 Services by skilled professionals Standard
G0514 RN performs assessment Element
▼ 178069 Day-By-Day Staff Relief, Llc 3620 Sw Fairlawn Rd, Ste 100 Topeka KS 7 (Kansas City) 04/27/2023 5F982-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
E0009 Local, State, Tribal Collaboration Process Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
G0606 Integrate all services Element
▼ 178069 Day-By-Day Staff Relief, Llc 3620 Sw Fairlawn Rd, Ste 100 Topeka KS 7 (Kansas City) 06/07/2019 JHPF11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0478 Investigate complaints made by patient Element
G0808 Onsite supervisory visit every 14 days Element
▼ 178072 Serenity Home Health Llc 3221 N Toben St, Ste 100 Wichita KS 7 (Kansas City) 06/01/2021 QZW711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0610 Patients receive education and training Element