S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

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
267611 Life Fountain Health Care, Inc. 2870 Netherton Drive, Suite B Saint Louis MO 7 (Kansas City) 10/19/2022 5E075-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
G0572 Plan of care Standard
G0686 Infection control education Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G1024 Authentication Standard
G0422 Written notice within 4 business days Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
267611 Life Fountain Health Care, Inc. 2870 Netherton Drive, Suite B Saint Louis MO 7 (Kansas City) 10/23/2019 OZHP11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
267612 Four Roses, Llc 926 Hemsath Rd, Ste 104a Saint Charles MO 7 (Kansas City) 12/31/2025 1DFF16-H1 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
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
267612 Four Roses, Llc 926 Hemsath Rd, Ste 104a Saint Charles MO 7 (Kansas City) 01/05/2023 5EADF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G0682 Infection Prevention Standard
G0440 Payment from federally funded programs Element
G0448 Freedom from discrimination or reprisal Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0984 In accordance with current clinical practice Element
267612 Four Roses, Llc 926 Hemsath Rd, Ste 104a Saint Charles MO 7 (Kansas City) 01/08/2020 CMKT11 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
G0706 Interdisciplinary assessment of the patient Element
267613 St. Andrews & Bethesda, Llc 12101 Woodcrest Executive Dr, Ste 201 Saint Louis MO 7 (Kansas City) 12/04/2023 61A27-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
E0037 EP Training Program Standard
G0686 Infection control education Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
G0788 Org. had partial/extended survey Element
G0984 In accordance with current clinical practice Element
267613 St. Andrews & Bethesda, Llc 12101 Woodcrest Executive Dr, Ste 201 Saint Louis MO 7 (Kansas City) 03/17/2021 8CQ511 Complaint, 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
G0560 Discharge Planning Condition
G0570 Care planning, coordination, quality of care Condition
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0684 Infection control Standard
G0414 HHA administrator contact information Element
G0442 Written notice for non-covered care Element
G0484 Document complaint and resolution 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
G0602 Communication with all physicians Element
G0614 Visit schedule Element
G1022 Discharge and transfer summaries Element
267613 St. Andrews & Bethesda, Llc 12101 Woodcrest Executive Dr, Ste 201 Saint Louis MO 7 (Kansas City) 02/13/2019 5QW811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0706 Interdisciplinary assessment of the patient Element
G0984 In accordance with current clinical practice Element
267614 The Whole Person, Inc. 1211 N Belt Highway, Ste 205 Saint Joseph MO 7 (Kansas City) 03/17/2026 1F521E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0470 Document efforts to resolve problems Element
267614 The Whole Person, Inc. 1211 N Belt Highway, Ste 205 Saint Joseph MO 7 (Kansas City) 07/09/2025 669DF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
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
G0940 Organization and administration of services Condition
G0372 Encoding and transmitting OASIS Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G0782 Eligible training/competency evaluation orgs. Standard
G0942 Governing body Standard
G1024 Authentication Standard
G0414 HHA administrator contact information 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
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0726 Nursing services supervised by RN Element
G0954 Ensures qualified pre-designated person Element