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
▼ 267525 Advance Medical Services, Inc 3306 Brown Road Saint Louis MO 7 (Kansas City) 01/10/2019 EGEX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
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
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
G0424 Exercise of rights Standard
G0490 Accessibility Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G0412 Written notice of patient's rights Element
G0418 Patient's or legal representative's signature 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
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care 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
G0482 Mistreatment, neglect or abuse Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0584 Verbal orders 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
G0648 High risk, high volume, or problem-prone area Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267529 Thomas Nursing Services Inc 910 S Florissant Rd,Ste 200 Saint Louis MO 7 (Kansas City) 09/13/2018 3K4M11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0958 Clinical manager Standard
G0982 Skilled services furnished Standard
G0950 Ensure clinical manager is available Element
G0956 Available during all operating hours Element
▼ 267529 Thomas Nursing Services Inc 910 S Florissant Rd,Ste 200 Saint Louis MO 7 (Kansas City) 02/22/2018 IGQI11 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
G0768 Competency evaluation Standard
G0862 Laboratory services/CLIA waivers Standard
G0412 Written notice of patient's rights Element
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
G0536 A review of all current medications Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
▼ 267530 St Louis Home Health Llc 1150 Hanley Industrial Court St. Louis MO 7 (Kansas City) 11/02/2022 5E2F3-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
G0684 Infection control Standard
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
G1022 Discharge and transfer summaries Element
▼ 267530 St Louis Home Health Llc 1150 Hanley Industrial Court St. Louis MO 7 (Kansas City) 11/14/2019 1HW911 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
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days 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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0788 Org. had partial/extended survey Element
G0812 Direct observation every 12 months Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 267535 First Choice Home Health Services, Inc 4200 N Cloverleaf Drive, Suite O St Peters MO 7 (Kansas City) 11/14/2018 5QUN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0039 EP Testing Requirements Standard
G0424 Exercise of rights Standard
G0490 Accessibility Standard
G0682 Infection Prevention 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
G0440 Payment from federally funded programs 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
G0482 Mistreatment, neglect or abuse Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff Element
G0528 Health, psychosocial, functional, cognition 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
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
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
▼ 267539 Traditions Health Care Of Independence 1520 E 23rd Street, Ste R Independence MO 7 (Kansas City) 02/10/2022 384A4-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
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0526 Content of the comprehensive assessment Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0442 Written notice for non-covered care Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0550 At discharge 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
G0598 Discharge plans communication Element
G0608 Coordinate care delivery Element
G0618 Treatments and therapy services Element
G0728 Rehab services supervised by PT, OT Element
G0788 Org. had partial/extended survey Element
G0948 Responsible for all day-to-day operations Element
G0964 Coordinate referrals; Element
▼ 267539 Traditions Health Care Of Independence 1520 E 23rd Street, Ste R Independence MO 7 (Kansas City) 03/06/2019 666M11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1076 Social Worker Standard
G0436 Receive all services in plan of care Element
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
▼ 267543 Lutheran Senior Services 1150 Hanley Industrial Court Brentwood MO 7 (Kansas City) 03/02/2022 385E9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
G0490 Accessibility Standard
G0416 OASIS privacy notice Element
G0422 Written notice within 4 business days Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition 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
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267543 Lutheran Senior Services 1150 Hanley Industrial Court Brentwood MO 7 (Kansas City) 04/17/2019 0QVZ11 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
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element