S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 267032 Howard County Home Health And Hospice 101 Furr Street Fayette MO 7 (Kansas City) 06/23/2022 4EEBF-H1 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
G0570 Care planning, coordination, quality of care Condition
G0490 Accessibility Standard
G0768 Competency evaluation Standard
G0412 Written notice of patient's rights Element
G0422 Written notice within 4 business days Element
G0440 Payment from federally funded programs Element
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
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 267032 Howard County Home Health And Hospice 101 Furr Street Fayette MO 7 (Kansas City) 10/02/2019 2RUP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0722 Participate in HHA-sponsored in-service Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
▼ 267037 Pike County Health Department, Home Health And Hospice 1 Health Care Place Bowling Green MO 7 (Kansas City) 12/19/2025 1DEC55-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0782 Eligible training/competency evaluation orgs. Standard
G0708 Development and evaluation of plan of care Element
▼ 267037 Pike County Health Department, Home Health And Hospice 1 Health Care Place Bowling Green MO 7 (Kansas City) 09/18/2024 64369-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0536 A review of all current medications Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G1022 Discharge and transfer summaries Element
▼ 267037 Pike County Health Department, Home Health And Hospice 1 Health Care Place Bowling Green MO 7 (Kansas City) 01/12/2022 38294-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0614 Visit schedule Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267037 Pike County Health Department, Home Health And Hospice 1 Health Care Place Bowling Green MO 7 (Kansas City) 01/24/2019 LVMB11 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
G0706 Interdisciplinary assessment of the patient Element
▼ 267047 Boone Hospital Center's Visiting Nurses, Inc. 1605 E Broadway, Ste 250 Columbia MO 7 (Kansas City) 10/03/2018 J0FX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0682 Infection Prevention Standard
G0414 HHA administrator contact information Element
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians 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
▼ 267050 Visiting Nurse Association Of Southeast Missouri, Inc 1124 Independence Avenue Kennett MO 7 (Kansas City) 08/06/2025 1D336E-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
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 267050 Visiting Nurse Association Of Southeast Missouri, Inc 1124 Independence Avenue Kennett MO 7 (Kansas City) 08/31/2022 4F5A7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0514 RN performs assessment 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
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 267050 Visiting Nurse Association Of Southeast Missouri, Inc 1124 Independence Avenue Kennett MO 7 (Kansas City) 10/02/2019 LD9L11 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
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G1022 Discharge and transfer summaries Element