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
▼ 267184 Ssm Health Businesses 12800 Corporate Hill Saint Louis MO 7 (Kansas City) 04/21/2021 TOI911 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
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267184 Ssm Health Businesses 12800 Corporate Hill Saint Louis MO 7 (Kansas City) 03/01/2021 DGGC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
▼ 267184 Ssm Health Businesses 12800 Corporate Hill Saint Louis MO 7 (Kansas City) 01/04/2018 05WP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
G0212 COMPETENCY EVALUATION & IN-SERVICE TRAI Standard
G0337 DRUG REGIMEN REVIEW Standard
▼ 267185 Texas County Memorial Hospital 1422 S Sam Houston Blvd, Suite 200 Houston MO 7 (Kansas City) 04/09/2025 65DD3-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
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0800 Services provided by HH aide Element
▼ 267185 Texas County Memorial Hospital 1422 S Sam Houston Blvd, Suite 200 Houston MO 7 (Kansas City) 03/23/2022 3874C-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
E0013 Development of EP Policies and Procedures Standard
E0023 Policies/Procedures for Medical Documentation Standard
G0452 Transfer and discharge Standard
G0490 Accessibility Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0412 Written notice of patient's rights Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0454 HHA can no longer meet the patient's needs 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
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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0788 Org. had partial/extended survey Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element
▼ 267185 Texas County Memorial Hospital 1422 S Sam Houston Blvd, Suite 200 Houston MO 7 (Kansas City) 04/17/2019 H3EG11 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
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0616 Patient medication schedule/instructions Element
G0620 Other pertinent instructions Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267186 Ozarks Medical Center 812 North Kentucky Avenue West Plains MO 7 (Kansas City) 02/21/2024 624DC-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
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0788 Org. had partial/extended survey Element
▼ 267186 Ozarks Medical Center 812 North Kentucky Avenue West Plains MO 7 (Kansas City) 08/26/2021 KU1911 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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0614 Visit schedule Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267186 Ozarks Medical Center 812 North Kentucky Avenue West Plains MO 7 (Kansas City) 02/19/2020 1VBN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 267186 Ozarks Medical Center 812 North Kentucky Avenue West Plains MO 7 (Kansas City) 03/01/2018 W4KN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs 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
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team 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