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
▼ 267597 Phoenix Home Care, Inc. 500 Broadway Street Jefferson City MO 7 (Kansas City) 12/19/2019 6KBQ11 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
G1024 Authentication Standard
G0590 Promptly alert relevant physician of changes Element
▼ 267599 Fv At Home - Home Health Llc 15201 Olive Blvd, Ste 257 Chesterfield MO 7 (Kansas City) 12/03/2025 1DD37B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0374 Accuracy of encoded OASIS data Standard
G0686 Infection control education 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
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
▼ 267599 Fv At Home - Home Health Llc 15201 Olive Blvd, Ste 257 Chesterfield MO 7 (Kansas City) 12/07/2022 5E7E1-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
G0534 Patient's needs 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
G0710 Provide services in the plan of care Element
G0946 Administrator appointed by governing body Element
▼ 267599 Fv At Home - Home Health Llc 15201 Olive Blvd, Ste 257 Chesterfield MO 7 (Kansas City) 12/18/2019 VG4N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 267600 Pyramid Home Health Services - Jefferson City, Inc 3501 West Truman Blvd, Suite G1 Jefferson City MO 7 (Kansas City) 10/04/2018 ULYY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
▼ 267603 Innovative Senior Care Home Health Of St. Louis, Llc 2 City Place Drive, Suite 430 Creve Coeur MO 7 (Kansas City) 06/04/2025 66587-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 267603 Innovative Senior Care Home Health Of St. Louis, Llc 2 City Place Drive, Suite 430 Creve Coeur MO 7 (Kansas City) 06/18/2018 KHBI11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
▼ 267605 Bethlehem Home Health Care, Inc 2726 Forest Avenue Kansas City MO 7 (Kansas City) 04/14/2022 388BD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0560 Discharge Planning Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G1050 Personnel qualifications Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster 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
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content 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
G0686 Infection control education Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0942 Governing body Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G1052 Administrator Standard
G1066 Physical Therapist Standard
G0414 HHA administrator contact information 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
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
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
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition 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
G0592 Revised plan of care 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
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G0722 Participate in HHA-sponsored in-service Element
G0788 Org. had partial/extended survey Element
G0946 Administrator appointed by governing body Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
G1022 Discharge and transfer summaries Element
▼ 267605 Bethlehem Home Health Care, Inc 2726 Forest Avenue Kansas City MO 7 (Kansas City) 06/13/2019 7UIL11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0510 Comprehensive Assessment of Patients 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
G1008 Clinical records Condition
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0578 Conformance with physician orders Standard
G0612 Written instructions to patient include: Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G1028 Protection of records Standard
G1030 Retrieval of records Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following 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
G0622 Name/contact information of clinical manager Element
G0648 High risk, high volume, or problem-prone area Element
G0728 Rehab services supervised by PT, OT Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0968 Assure implementation of plan of care Element
G1012 Required items in clinical record Element
▼ 267605 Bethlehem Home Health Care, Inc 2726 Forest Avenue Kansas City MO 7 (Kansas City) 05/23/2018 Q2ZS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
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
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0722 Participate in HHA-sponsored in-service Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element