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
▼ 267098 Missouri Home Care Of Rolla Inc 1206 Homelife Plaza Rolla MO 7 (Kansas City) 10/10/2018 EQHR11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
▼ 267106 Barton County Health Department/ Home Health Agency 1301 East 12th Street Lamar MO 7 (Kansas City) 02/06/2019 EY4F11 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
▼ 267121 Southeast Missouri Hospital Association 1701 Lacey Street Cape Girardeau MO 7 (Kansas City) 12/16/2021 380B2-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
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0706 Interdisciplinary assessment of the patient Element
▼ 267121 Southeast Missouri Hospital Association 1701 Lacey Street Cape Girardeau MO 7 (Kansas City) 01/09/2019 755311 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
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267125 Knox County Health Department Home Health Agency 102 West Monticello Street Edina MO 7 (Kansas City) 01/11/2024 61F58-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0984 In accordance with current clinical practice Element
▼ 267125 Knox County Health Department Home Health Agency 102 West Monticello Street Edina MO 7 (Kansas City) 06/09/2021 IZ6F11 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0410 Information to patient Element
G0422 Written notice within 4 business days Element
G0440 Payment from federally funded programs 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
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
▼ 267127 Lewis County Home Health Agency 101 State Hwy A Monticello MO 7 (Kansas City) 09/05/2024 641FD-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
G0580 Only as ordered by a physician Element
▼ 267127 Lewis County Home Health Agency 101 State Hwy A Monticello MO 7 (Kansas City) 12/15/2021 3811B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return 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
G0656 Improvements are sustained Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 267127 Lewis County Home Health Agency 101 State Hwy A Monticello MO 7 (Kansas City) 01/09/2019 XK6W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G0800 Services provided by HH aide Element
G0984 In accordance with current clinical practice Element
▼ 267140 Cameron Regional Medical Center, Inc 214 Mcelwain Drive, Ste B Cameron MO 7 (Kansas City) 12/04/2024 64D37-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0782 Eligible training/competency evaluation orgs. Standard
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
G0608 Coordinate care delivery Element