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
▼ 267459 Traditions Health Care Of Springfield, Llc 1304-A East Woodhurst Drive Springfield MO 7 (Kansas City) 04/18/2018 HDZ511 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
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0984 In accordance with current clinical practice Element
▼ 267459 Traditions Health Care Of Springfield, Llc 1304-A East Woodhurst Drive Springfield MO 7 (Kansas City) 04/04/2018 X32Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0610 Patients receive education and training Element
▼ 267462 North Kansas City Hospital 2750 Clay Edwards Drive, Suite 604 North Kansas City MO 7 (Kansas City) 09/14/2023 61090-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 267499 Lhcg Lxv, Llc 104 Smith Street Sikeston MO 7 (Kansas City) 08/21/2025 1D4717-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services 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
G0588 Reviewed, revised by physician every 60 days Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0984 In accordance with current clinical practice Element
▼ 267499 Lhcg Lxv, Llc 104 Smith Street Sikeston MO 7 (Kansas City) 01/24/2019 04XF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0422 Written notice within 4 business days 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
▼ 267505 Willow Health Care Inc 2642 State Road 76 Willow Springs MO 7 (Kansas City) 03/20/2024 62927-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
G0536 A review of all current medications Element
▼ 267505 Willow Health Care Inc 2642 State Road 76 Willow Springs MO 7 (Kansas City) 09/15/2021 KDE311 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0538 Primary caregiver(s), if any 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
G0788 Org. had partial/extended survey Element
G0800 Services provided by HH aide Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G1022 Discharge and transfer summaries Element
▼ 267505 Willow Health Care Inc 2642 State Road 76 Willow Springs MO 7 (Kansas City) 06/06/2018 1R5S11 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
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
▼ 267511 Jennifer's Home Health Agency Inc 3322 S Campbell, Suite P-11 Springfield MO 7 (Kansas City) 03/25/2026 22C2A6-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
G0724 Supervise skilled professional assistants 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
G1022 Discharge and transfer summaries Element
▼ 267511 Jennifer's Home Health Agency Inc 3322 S Campbell, Suite P-11 Springfield MO 7 (Kansas City) 03/23/2023 5F5FF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0526 Content of the comprehensive assessment Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0818 HH aide supervision elements Element