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

Time Interval

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Provider Characteristics

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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
267639 American Homecare Management Corp. 20101 E Jackson Drive, Ste D Independence MO 7 (Kansas City) 03/27/2019 GHBL11 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
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
267640 Vita L.L.C. 13990 Olive Boulevard, Ste 102b Chesterfield MO 7 (Kansas City) 01/11/2022 381D0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0958 Clinical manager Standard
G0440 Payment from federally funded programs 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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0788 Org. had partial/extended survey Element
G0952 Ensure that HHA employs qualified personnel Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
267640 Vita L.L.C. 13990 Olive Boulevard, Ste 102b Chesterfield MO 7 (Kansas City) 02/26/2019 WKIH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
267642 Alpine Home Health Agency, Inc 930 Kehrs Mill Road, Suite 312 Ballwin MO 7 (Kansas City) 07/11/2019 2RTK11 Recertification, Sample Validation
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
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
267650 Phoenix Home Care, Llc 14330 East 42nd Street South Independence MO 7 (Kansas City) 09/04/2025 1D627E-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
G1022 Discharge and transfer summaries Element
267650 Phoenix Home Care, Llc 14330 East 42nd Street South Independence MO 7 (Kansas City) 11/17/2022 5E507-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
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
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0610 Patients receive education and training Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
267650 Phoenix Home Care, Llc 14330 East 42nd Street South Independence MO 7 (Kansas City) 12/04/2019 60TX11 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
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
267656 Envision Health Partners Llc 2088 Craigshire Road Saint Louis MO 7 (Kansas City) 10/02/2024 645F0-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 Condition of Participation: Patient rights. Condition
G0490 Accessibility Standard
G0782 Eligible training/competency evaluation orgs. Standard
G0422 Written notice within 4 business days Element
G0436 Receive all services in plan of care Element
G0444 State toll free HH telephone hotline Element
G0450 Access to auxiliary aids and language service Element
G0454 HHA can no longer meet the patient's needs 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
G0522 Eligibility for Medicare home health benefit Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return 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
G0984 In accordance with current clinical practice Element
267661 Novus Lifecare, Llc 1700 Nw Mock Ave, Ste B Blue Springs MO 7 (Kansas City) 01/10/2018 5S8911 Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0118 COMPLIANCE WITH FED, STATE, LOCAL LAWS Standard
267664 All Care Home Health, Inc 10127 Manchester Rd, Ste 206 Saint Louis MO 7 (Kansas City) 09/14/2022 4F672-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0033 Methods for Sharing Information Standard
E0039 EP Testing Requirements Standard
G0422 Written notice within 4 business days Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline 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
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element