S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
267216 Ste Genevieve County Memorial Hospital Home Health Agency 990 Park Drive Sainte Genevieve MO 7 (Kansas City) 03/06/2025 6591F-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
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
267216 Ste Genevieve County Memorial Hospital Home Health Agency 990 Park Drive Sainte Genevieve MO 7 (Kansas City) 04/06/2022 38827-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
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0702 Services by skilled professionals Standard
G0724 Supervise skilled professional assistants Standard
G0444 State toll free HH telephone hotline 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
G0706 Interdisciplinary assessment of the patient Element
G0788 Org. had partial/extended survey Element
G0978 Must have a written agreement Element
G1022 Discharge and transfer summaries Element
267216 Ste Genevieve County Memorial Hospital Home Health Agency 990 Park Drive Sainte Genevieve MO 7 (Kansas City) 05/01/2019 TYTG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
267217 Mercy Hospital Jefferson 151 Industrial Drive Festus MO 7 (Kansas City) 11/06/2024 64A2B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0710 Provide services in the plan of care Element
267217 Mercy Hospital Jefferson 151 Industrial Drive Festus MO 7 (Kansas City) 03/23/2022 3842C-H2 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0706 Interdisciplinary assessment of the patient Element
267217 Mercy Hospital Jefferson 151 Industrial Drive Festus MO 7 (Kansas City) 02/10/2022 3842C-H1 Focused Infection Control, 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
G0562 Discharge Planning Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment 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
G0608 Coordinate care delivery Element
G0620 Other pertinent instructions Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0788 Org. had partial/extended survey Element
G0800 Services provided by HH aide Element
267217 Mercy Hospital Jefferson 151 Industrial Drive Festus MO 7 (Kansas City) 03/13/2019 NSK411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
267218 Herman Area Hospital District 509 West 18th Street Hermann MO 7 (Kansas City) 08/26/2021 C8WY11 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
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0490 Accessibility Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0436 Receive all services in plan of care Element
G0440 Payment from federally funded programs Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0542 Incorporate OASIS items Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0606 Integrate all services Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0788 Org. had partial/extended survey Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
G0968 Assure implementation of plan of care Element
G1022 Discharge and transfer summaries Element
267218 Herman Area Hospital District 509 West 18th Street Hermann MO 7 (Kansas City) 08/15/2018 HGX511 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
267219 Lhcg Cxxxxiii Llc 1125 Madison Street, Suite C Jefferson City MO 7 (Kansas City) 04/20/2023 5F9A3-H1 Focused Infection Control, 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
G0412 Written notice of patient's rights Element
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0718 Communication with physicians Element