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
▼ 267629 Phoenix Home Care, Llc 1839 E Independence Street, Ste K Springfield MO 7 (Kansas City) 09/12/2018 1VUN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
▼ 267630 Piggott Community Hospital 115 North Ash Campbell MO 7 (Kansas City) 06/11/2025 66671-H1 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
G0682 Infection Prevention Standard
G0782 Eligible training/competency evaluation orgs. Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0620 Other pertinent instructions Element
G0622 Name/contact information of clinical manager Element
G0804 Aides are members of interdisciplinary team Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
▼ 267630 Piggott Community Hospital 115 North Ash Campbell MO 7 (Kansas City) 07/13/2022 4F057-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
G0422 Written notice within 4 business days Element
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0978 Must have a written agreement Element
G0984 In accordance with current clinical practice Element
▼ 267630 Piggott Community Hospital 115 North Ash Campbell MO 7 (Kansas City) 09/13/2018 N60211 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
G0700 Skilled professional services Condition
G0452 Transfer and discharge Standard
G0490 Accessibility Standard
G0768 Competency evaluation Standard
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
G0450 Access to auxiliary aids and language service Element
G0454 HHA can no longer meet the patient's needs 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
G0474 HHA ceases to operate Element
G0480 Treatment or care Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0488 Immediate reporting of abuse by all staff Element
G0530 Strengths, goals, and care preferences Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician 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
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0728 Rehab services supervised by PT, OT Element
G0818 HH aide supervision elements Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element
▼ 267631 Home Health Professionals, Inc 232 W Main Street Steele MO 7 (Kansas City) 06/28/2023 60339-H1 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
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0490 Accessibility Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0724 Supervise skilled professional assistants Standard
G0798 Home health aide assignments and duties Standard
G0412 Written notice of patient's rights Element
G0422 Written notice within 4 business days Element
G0430 Be free from abuse Element
G0436 Receive all services in plan of care Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service 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
G0514 RN performs assessment Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0622 Name/contact information of clinical manager Element
G0722 Participate in HHA-sponsored in-service Element
G0728 Rehab services supervised by PT, OT Element
G0788 Org. had partial/extended survey Element
G0800 Services provided by HH aide Element
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267637 Med Plus Staffing Llc 760 South Kingshighway Suite E Cape Girardeau MO 7 (Kansas City) 03/14/2018 HGOY11 Complaint, Other-Fed, Recertification
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
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0374 Accuracy of encoded OASIS data Standard
G0452 Transfer and discharge Standard
G0490 Accessibility Standard
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G0704 Responsibilities of skilled professionals Standard
G0724 Supervise skilled professional assistants Standard
G0942 Governing body Standard
G0982 Skilled services furnished Standard
G0412 Written notice of patient's rights Element
G0418 Patient's or legal representative's signature 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
G0444 State toll free HH telephone hotline 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
G0514 RN performs assessment Element
G0516 Skilled professional performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0598 Discharge plans communication Element
G0718 Communication with physicians Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G0968 Assure implementation of plan of care Element
▼ 267638 Haven Home Health, Llc 850 North 25th Street Ozark MO 7 (Kansas City) 12/21/2022 5E8CE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0478 Investigate complaints made by patient Element
G0534 Patient's needs Element
▼ 267638 Haven Home Health, Llc 850 North 25th Street Ozark MO 7 (Kansas City) 02/13/2019 H9DJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
▼ 267639 American Homecare Management Corp. 20101 E Jackson Drive, Ste D Independence MO 7 (Kansas City) 11/06/2024 64A38-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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
▼ 267639 American Homecare Management Corp. 20101 E Jackson Drive, Ste D Independence MO 7 (Kansas City) 03/09/2022 38671-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
G0592 Revised plan of care Element