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
▼ 178074 Day By Day Staff Relief, Llc 8201 East 34th Street Circle N, Suite 1507 Wichita KS 7 (Kansas City) 05/01/2025 65F13-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
▼ 178075 Home Town Health Care, Llc 715 Washington St., Suite B Lyndon KS 7 (Kansas City) 09/05/2024 64117-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0372 Encoding and transmitting OASIS Standard
G0386 Data Format Standard
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0622 Name/contact information of clinical manager Element
▼ 178077 Essential Home Health Inc 6803 W 64th St, Ste 101 Overland Park KS 7 (Kansas City) 03/28/2024 6293A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0029 Development of Communication Plan Standard
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 178077 Essential Home Health Inc 6803 W 64th St, Ste 101 Overland Park KS 7 (Kansas City) 03/28/2019 5V7811 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
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
G0978 Must have a written agreement Element
▼ 178081 Hospice Services Of Northwest Kansas Inc 438 N Franklin Colby KS 7 (Kansas City) 04/12/2018 D4E911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
▼ 178086 Diversified Family Services, Llc 1631 East 17th Street North Suite 100 Wichita KS 7 (Kansas City) 06/20/2019 9VEY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0600 Coordination of Care Standard
G0704 Responsibilities of skilled professionals Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
▼ 178087 Home Health Of Kansas Llc 7607 E Harry Wichita KS 7 (Kansas City) 03/16/2023 5F9C9-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
G0406 Patient rights Condition
G0586 Review and revision of the plan of care Standard
G0660 Executive responsibilities for QAPI Standard
G0430 Be free from abuse Element
G0436 Receive all services in plan of care Element
G0486 Protect patient during investigation Element
G0616 Patient medication schedule/instructions Element
▼ 178087 Home Health Of Kansas Llc 7607 E Harry Wichita KS 7 (Kansas City) 07/11/2019 R3ZQ11 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
▼ 178090 Midland Care Connection, Inc 200 Sw Frazier Circle Topeka KS 7 (Kansas City) 07/12/2018 X3XS11 Recertification, Sample Validation
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
G0580 Only as ordered by a physician Element
▼ 178092 Sunflower Home Health Care Llc 826 E Lincoln Wichita KS 7 (Kansas City) 05/31/2018 O06B11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element