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
▼ 287003 Amedisys Home Health Of Nebraska, L.L.C. 10040 Regency Circle, Suite 125 Omaha NE 7 (Kansas City) 01/24/2019 2BUU11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 287004 Vsl Vetter Home Health Care Of Gering, Llc 1335 M St., Ste. 101 Gering NE 7 (Kansas City) 02/05/2024 6236F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
▼ 287004 Vsl Vetter Home Health Care Of Gering, Llc 1335 M St., Ste. 101 Gering NE 7 (Kansas City) 03/29/2018 QM5W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 287008 Cozad Hospital District #2 835 Meridan Avenue, Po Box 207 Cozad NE 7 (Kansas City) 04/09/2026 22E261-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0576 All orders recorded in plan of care Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0808 Onsite supervisory visit every 14 days Element
▼ 287008 Cozad Hospital District #2 835 Meridan Avenue, Po Box 207 Cozad NE 7 (Kansas City) 03/23/2023 5F6A7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
▼ 287008 Cozad Hospital District #2 835 Meridan Avenue, Po Box 207 Cozad NE 7 (Kansas City) 03/12/2020 KQIA11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 287009 Home Health Services Of Mary Lanning Memorial Healthcare 747 N Burlington Ave Suite 202 Hastings NE 7 (Kansas City) 06/07/2022 4ED0C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0592 Revised plan of care Element
▼ 287009 Home Health Services Of Mary Lanning Memorial Healthcare 747 N Burlington Ave Suite 202 Hastings NE 7 (Kansas City) 06/28/2019 PYZT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 287009 Home Health Services Of Mary Lanning Memorial Healthcare 747 N Burlington Ave Suite 202 Hastings NE 7 (Kansas City) 03/13/2019 RBN711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0410 Information to patient Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
▼ 287019 Chi National Home Care, Llc 10101 Maple St. Omaha NE 7 (Kansas City) 02/13/2025 65649-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0520 5 calendar days after start of care Element
G0580 Only as ordered by a physician Element