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
▼ 267511 Jennifer's Home Health Agency Inc 3322 S Campbell, Suite P-11 Springfield MO 7 (Kansas City) 05/21/2018 DV8011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
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
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
E0039 EP Testing Requirements Standard
G0374 Accuracy of encoded OASIS data Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0520 5 calendar days after start of care Element
G0530 Strengths, goals, and care preferences 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
G0602 Communication with all physicians Element
G0622 Name/contact information of clinical manager Element
G0652 Activities lead to an immediate correction Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
▼ 267514 Lutheran Home For The Aged 2825 Bloomfield Road Cape Girardeau MO 7 (Kansas City) 08/11/2022 4F352-H1 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
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0039 EP Testing Requirements Standard
G0374 Accuracy of encoded OASIS data Standard
G0642 Program scope 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
G0412 Written notice of patient's rights Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0442 Written notice for non-covered care 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
G0514 RN performs assessment Element
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
G0788 Org. had partial/extended survey Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
▼ 267514 Lutheran Home For The Aged 2825 Bloomfield Road Cape Girardeau MO 7 (Kansas City) 10/09/2019 WOZY11 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
G0470 Document efforts to resolve problems Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0984 In accordance with current clinical practice Element
▼ 267515 Saint Francis Medical Center 150 S Mount Auburn , Suite 344 Cape Girardeau MO 7 (Kansas City) 11/02/2022 5E365-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0422 Written notice within 4 business days Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0706 Interdisciplinary assessment of the patient Element
▼ 267515 Saint Francis Medical Center 150 S Mount Auburn , Suite 344 Cape Girardeau MO 7 (Kansas City) 11/14/2019 GCY911 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
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
▼ 267522 Comfort Care Home Health Agency Inc 1415 Walnut Street Doniphan MO 7 (Kansas City) 04/09/2025 65E35-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0536 A review of all current medications Element
▼ 267522 Comfort Care Home Health Agency Inc 1415 Walnut Street Doniphan MO 7 (Kansas City) 04/20/2022 38939-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
G0414 HHA administrator contact information Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
▼ 267522 Comfort Care Home Health Agency Inc 1415 Walnut Street Doniphan MO 7 (Kansas City) 12/19/2018 8GMP11 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
G0584 Verbal orders Element
▼ 267525 Advance Medical Services, Inc 3306 Brown Road Saint Louis MO 7 (Kansas City) 09/25/2024 64467-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
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 267525 Advance Medical Services, Inc 3306 Brown Road Saint Louis MO 7 (Kansas City) 01/12/2022 382A4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
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
G0952 Ensure that HHA employs qualified personnel Element