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
▼ 267431 Delmar Gardens Home Care Inc 14805 North Outer 40 Road, Suite 320 Chesterfield MO 7 (Kansas City) 01/04/2018 VU0711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0108 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0110 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
G0337 DRUG REGIMEN REVIEW Standard
▼ 267448 Lhcg Cxlvi Llc 1001 Southwest Blvd, Suite B Jefferson City MO 7 (Kansas City) 04/14/2026 22E96A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0604 Integrate all orders Element
G0618 Treatments and therapy services Element
G0984 In accordance with current clinical practice Element
▼ 267448 Lhcg Cxlvi Llc 1001 Southwest Blvd, Suite B Jefferson City MO 7 (Kansas City) 02/13/2026 1E3CCE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0782 Eligible training/competency evaluation orgs. Standard
▼ 267448 Lhcg Cxlvi Llc 1001 Southwest Blvd, Suite B Jefferson City MO 7 (Kansas City) 05/03/2023 5FB4B-H1 Complaint, 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
G0572 Plan of care Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G0706 Interdisciplinary assessment of the patient Element
G0788 Org. had partial/extended survey Element
G0984 In accordance with current clinical practice Element
▼ 267453 Rims Health Care Inc 11520 St Charles Rock Road Suite 115 Bridgeton MO 7 (Kansas City) 02/07/2024 6231F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G1024 Authentication 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
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267453 Rims Health Care Inc 11520 St Charles Rock Road Suite 115 Bridgeton MO 7 (Kansas City) 08/04/2021 1HDL11 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
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
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
G1022 Discharge and transfer summaries Element
▼ 267453 Rims Health Care Inc 11520 St Charles Rock Road Suite 115 Bridgeton MO 7 (Kansas City) 06/20/2018 VHVV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0374 Accuracy of encoded OASIS data Standard
G0424 Exercise of rights Standard
G0452 Transfer and discharge Standard
G0490 Accessibility Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G0944 Administrator must: Standard
G1024 Authentication Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days Element
G0430 Be free from abuse Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0438 Have a confidential clinical record Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
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
G0478 Investigate complaints made by patient Element
G0480 Treatment or care Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff 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
G0584 Verbal orders Element
G0592 Revised plan of care Element
G0596 Revisions communicated to patient and MDs Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0620 Other pertinent instructions Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0722 Participate in HHA-sponsored in-service Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267459 Traditions Health Care Of Springfield, Llc 1304-A East Woodhurst Drive Springfield MO 7 (Kansas City) 12/19/2023 61C8C-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
▼ 267459 Traditions Health Care Of Springfield, Llc 1304-A East Woodhurst Drive Springfield MO 7 (Kansas City) 05/05/2021 OVKH11 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
G0768 Competency evaluation Standard
G0514 RN performs assessment 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
G0610 Patients receive education and training Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
▼ 267459 Traditions Health Care Of Springfield, Llc 1304-A East Woodhurst Drive Springfield MO 7 (Kansas City) 12/29/2020 E9C911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element