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
▼ 267051 Monroe County Health Department And Home Health Agency 310 North Market Street Paris MO 7 (Kansas City) 02/27/2019 LTOI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0984 In accordance with current clinical practice Element
▼ 267056 John Knox Village 600 Nw Pryor Road, Unit 300 Lees Summit MO 7 (Kansas City) 05/29/2025 664A2-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
G0706 Interdisciplinary assessment of the patient Element
▼ 267056 John Knox Village 600 Nw Pryor Road, Unit 300 Lees Summit MO 7 (Kansas City) 11/15/2023 61860-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
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
G0788 Org. had partial/extended survey Element
▼ 267056 John Knox Village 600 Nw Pryor Road, Unit 300 Lees Summit MO 7 (Kansas City) 06/08/2022 4ED1D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G1024 Authentication Standard
G0422 Written notice within 4 business days Element
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0604 Integrate all orders Element
G0606 Integrate all services Element
G0614 Visit schedule Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0788 Org. had partial/extended survey Element
▼ 267056 John Knox Village 600 Nw Pryor Road, Unit 300 Lees Summit MO 7 (Kansas City) 06/26/2019 UVLZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267057 Pulaski County Health Dept 101 12th Street Crocker MO 7 (Kansas City) 11/16/2018 YP6K11 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
G0424 Exercise of rights Standard
G0490 Accessibility Standard
G0572 Plan of care Standard
G0430 Be free from abuse Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0438 Have a confidential clinical record Element
G0440 Payment from federally funded programs Element
G0450 Access to auxiliary aids and language service Element
G0482 Mistreatment, neglect or abuse Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 267058 Johnson County Community Health Services 723 Pca Road Warrensburg MO 7 (Kansas City) 01/24/2024 620DE-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
G0590 Promptly alert relevant physician of changes Element
G0596 Revisions communicated to patient and MDs Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 267058 Johnson County Community Health Services 723 Pca Road Warrensburg MO 7 (Kansas City) 06/03/2021 8YR111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
G0682 Infection Prevention Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
▼ 267058 Johnson County Community Health Services 723 Pca Road Warrensburg MO 7 (Kansas City) 07/11/2018 GC3M11 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
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
▼ 267062 Serve Link Home Care, Inc 1510 East 9th Street Trenton MO 7 (Kansas City) 01/29/2025 653C6-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