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
▼ 267070 Scotland County Home Health Agency 214 W Madison Memphis MO 7 (Kansas City) 07/26/2018 CQCB11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0716 Preparing clinical notes Element
G0722 Participate in HHA-sponsored in-service Element
G0984 In accordance with current clinical practice Element
▼ 267087 Cox Hps Of The Ozarks, Inc. 2240 W Sunset Street, Suite 104, Springfield MO 7 (Kansas City) 10/04/2022 5DD9B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 267087 Cox Hps Of The Ozarks, Inc. 2240 W Sunset Street, Suite 104, Springfield MO 7 (Kansas City) 08/05/2020 RL7E11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0436 Receive all services in plan of care Element
G0484 Document complaint and resolution Element
▼ 267087 Cox Hps Of The Ozarks, Inc. 2240 W Sunset Street, Suite 104, Springfield MO 7 (Kansas City) 09/11/2019 CVDP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 267087 Cox Hps Of The Ozarks, Inc. 2240 W Sunset Street, Suite 104, Springfield MO 7 (Kansas City) 03/07/2019 C70I11 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
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
▼ 267087 Cox Hps Of The Ozarks, Inc. 2240 W Sunset Street, Suite 104, Springfield MO 7 (Kansas City) 08/29/2018 7O6W11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0428 Property and person treated with respect Element
▼ 267097 E Medical Group Of Missouri N. 3, Llc 1513 Union Avenue, Suite 2200 Moberly MO 7 (Kansas City) 02/27/2020 OC2H11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0788 Org. had partial/extended survey Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G1022 Discharge and transfer summaries Element
▼ 267098 Missouri Home Care Of Rolla Inc 1206 Homelife Plaza Rolla MO 7 (Kansas City) 06/17/2026 235FF0-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
G1024 Authentication Standard
G0520 5 calendar days after start of care Element
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
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
▼ 267098 Missouri Home Care Of Rolla Inc 1206 Homelife Plaza Rolla MO 7 (Kansas City) 08/28/2023 60CC5-H1 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
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0478 Investigate complaints made by patient Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0948 Responsible for all day-to-day operations Element
▼ 267098 Missouri Home Care Of Rolla Inc 1206 Homelife Plaza Rolla MO 7 (Kansas City) 01/14/2021 OL8G11 Focused Infection Control, Other-Fed, 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
G0528 Health, psychosocial, functional, cognition Element
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
G0800 Services provided by HH aide Element