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
▼ 267548 Extended Family Home Health Inc Po Box 544 Hayti MO 7 (Kansas City) 05/03/2018 LD6Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
G0490 Accessibility Standard
G0686 Infection control education Standard
G0414 HHA administrator contact information Element
G0420 [Removed and Reserved] Element
G0434 Participate in 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
G0470 Document efforts to resolve problems Element
G0472 Death of patient Element
G0474 HHA ceases to operate Element
G0488 Immediate reporting of abuse by all staff 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
G0584 Verbal orders Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0722 Participate in HHA-sponsored in-service Element
G0728 Rehab services supervised by PT, OT Element
G0984 In accordance with current clinical practice Element
▼ 267555 Phelps Regional Homecare 1500 E State Highway 72 Rolla MO 7 (Kansas City) 09/12/2018 LW3V11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0424 Exercise of rights Standard
G0490 Accessibility Standard
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0724 Supervise skilled professional assistants Standard
G0412 Written notice of patient's rights Element
G0416 OASIS privacy notice Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0480 Treatment or care Element
G0482 Mistreatment, neglect or abuse Element
G0488 Immediate reporting of abuse by all staff 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
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0712 Patient, caregiver, and family counseling Element
G0714 Patient and caregiver education Element
G0754 A qualified HH aide successfully completed: Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G0980 Primary HHA is responsible for patient care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267560 Harrison County Health Department & Harrison County Home Health 1700 Bethany Avenue Bethany MO 7 (Kansas City) 02/07/2024 622E9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0528 Health, psychosocial, functional, cognition 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
G0604 Integrate all orders Element
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0722 Participate in HHA-sponsored in-service Element
G0788 Org. had partial/extended survey Element
▼ 267560 Harrison County Health Department & Harrison County Home Health 1700 Bethany Avenue Bethany MO 7 (Kansas City) 05/19/2021 E4LL11 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
G0452 Transfer and discharge Standard
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
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
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians 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
G1022 Discharge and transfer summaries Element
▼ 267560 Harrison County Health Department & Harrison County Home Health 1700 Bethany Avenue Bethany MO 7 (Kansas City) 02/15/2018 V74111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0978 Must have a written agreement Element
G0984 In accordance with current clinical practice Element
▼ 267561 St. Luke's Episcopal-Presbyterian Hospitals 101 St Luke'S Center Drive Chesterfield MO 7 (Kansas City) 04/07/2021 WICQ11 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
G0440 Payment from federally funded programs Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0618 Treatments and therapy services Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 267561 St. Luke's Episcopal-Presbyterian Hospitals 101 St Luke'S Center Drive Chesterfield MO 7 (Kansas City) 01/23/2018 7GY311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0526 Content of the comprehensive assessment Standard
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0804 Aides are members of interdisciplinary team Element
▼ 267562 Cooperative Home Care, Inc 1924 Marconi Ave Saint Louis MO 7 (Kansas City) 12/18/2024 64F22-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
G0462 Before discharge for cause HHA must: Element
G0536 A review of all current medications Element
▼ 267562 Cooperative Home Care, Inc 1924 Marconi Ave Saint Louis MO 7 (Kansas City) 02/16/2022 38509-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0564 Discharge or Transfer Summary Content Standard
G0414 HHA administrator contact information Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities 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
G0610 Patients receive education and training Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
▼ 267562 Cooperative Home Care, Inc 1924 Marconi Ave Saint Louis MO 7 (Kansas City) 10/20/2021 37D19-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element