S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
267290 Centerwell Certified Healthcare Corp. 12125 Woodcrest Executive Drive, Suite 340 Creve Coeur MO 7 (Kansas City) 09/26/2023 6119D-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
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G0982 Skilled services furnished Standard
G0528 Health, psychosocial, functional, cognition Element
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
G0592 Revised plan of care Element
G0620 Other pertinent instructions Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0788 Org. had partial/extended survey Element
G0808 Onsite supervisory visit every 14 days Element
267290 Centerwell Certified Healthcare Corp. 12125 Woodcrest Executive Drive, Suite 340 Creve Coeur MO 7 (Kansas City) 12/16/2020 SXNY11 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
G1022 Discharge and transfer summaries Element
267296 Kirksville Home Care Services, Llc 2412a S. Franklin Street Kirksville MO 7 (Kansas City) 11/15/2023 61870-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
267402 E Medical Group Of Missouri No. 2, Llc 1053 Cave Springs, Ste 305 Saint Peters MO 7 (Kansas City) 05/16/2019 7J0311 Recertification, Sample Validation
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
G0584 Verbal orders Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
267409 Lake Regional Health Systems 1029 Nichols Road, Suite A Osage Beach MO 7 (Kansas City) 02/08/2022 38462-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
267413 Bentley Enterprises, Llc 208 E 5th Street Mound City MO 7 (Kansas City) 01/15/2025 651EC-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
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
267413 Bentley Enterprises, Llc 208 E 5th Street Mound City MO 7 (Kansas City) 01/19/2022 382EF-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
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
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
G0788 Org. had partial/extended survey Element
G1022 Discharge and transfer summaries Element
267413 Bentley Enterprises, Llc 208 E 5th Street Mound City MO 7 (Kansas City) 01/30/2019 QN9N11 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
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0984 In accordance with current clinical practice Element
267431 Delmar Gardens Home Care Inc 14805 North Outer 40 Road, Suite 320 Chesterfield MO 7 (Kansas City) 11/01/2023 61694-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
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
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
267431 Delmar Gardens Home Care Inc 14805 North Outer 40 Road, Suite 320 Chesterfield MO 7 (Kansas City) 02/24/2021 YP4211 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
G0614 Visit schedule Element
G1022 Discharge and transfer summaries Element