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

Time Interval

Please select the calendar year or years for which you would like data.

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
267002 V N A Corporation 1300 E 104th Street, Ste 300 Kansas City MO 7 (Kansas City) 07/07/2022 4EFB5-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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0954 Ensures qualified pre-designated person Element
267002 V N A Corporation 1300 E 104th Street, Ste 300 Kansas City MO 7 (Kansas City) 09/19/2019 83KB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0848 Compliance with Federal, State, Local Law Condition
G0452 Transfer and discharge Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0860 Licensing Standard
G0444 State toll free HH telephone hotline 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
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
267003 Ralls County Health Department And Home Health Agency P O Box 434 New London MO 7 (Kansas City) 07/29/2021 3OZ111 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0037 EP Training Program Standard
G0544 Update of the comprehensive assessment Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0958 Clinical manager Standard
G0982 Skilled services furnished Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G0648 High risk, high volume, or problem-prone area Element
G0788 Org. had partial/extended survey Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G1018 Contact information for the patient Element
G1022 Discharge and transfer summaries Element
267003 Ralls County Health Department And Home Health Agency P O Box 434 New London MO 7 (Kansas City) 06/07/2018 VK5811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0374 Accuracy of encoded OASIS data Standard
G0424 Exercise of rights Standard
G0452 Transfer and discharge Standard
G0490 Accessibility Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G0944 Administrator must: Standard
G0412 Written notice of patient's rights Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days 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
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline 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
G0472 Death of patient Element
G0474 HHA ceases to operate Element
G0478 Investigate complaints made by patient Element
G0480 Treatment or care Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0722 Participate in HHA-sponsored in-service Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
267019 Shannon County Health Center 18018 Grey Jones Drive Eminence MO 7 (Kansas City) 11/16/2018 5V9611 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
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G0722 Participate in HHA-sponsored in-service Element
G0984 In accordance with current clinical practice Element
267025 Clark County Home Health Agency 670 North Johnson Street Kahoka MO 7 (Kansas City) 04/30/2025 66120-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
267025 Clark County Home Health Agency 670 North Johnson Street Kahoka MO 7 (Kansas City) 05/12/2022 4EA96-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0622 Name/contact information of clinical manager Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
267025 Clark County Home Health Agency 670 North Johnson Street Kahoka MO 7 (Kansas City) 03/06/2019 0KUW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
267032 Howard County Home Health And Hospice 101 Furr Street Fayette MO 7 (Kansas City) 04/22/2025 65FC5-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
G0536 A review of all current medications Element
267032 Howard County Home Health And Hospice 101 Furr Street Fayette MO 7 (Kansas City) 07/26/2022 4EEBF-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0580 Only as ordered by a physician Element