S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 287038 Centerwell Certified Healthcare Corp. 1045 N. 115th St., Ste. 350 Omaha NE 7 (Kansas City) 09/28/2022 5DD0D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0596 Revisions communicated to patient and MDs Element
▼ 287040 Antelope Memorial Hospital P O Box 229, 102 West 9th Street Neligh NE 7 (Kansas City) 08/09/2019 P1FM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 287050 Chi National Home Care, Llc 245 South 84th Street, Suite 300 Lincoln NE 7 (Kansas City) 11/15/2023 61857-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
▼ 287052 Chadron Community Hospital Corp. 160 Chadron Ave. Chadron NE 7 (Kansas City) 01/25/2024 62184-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G1060 Licensed Practical (Vocational) Nurse Standard
▼ 287055 Valley County Hospital 400 South 23rd Street Ord NE 7 (Kansas City) 11/02/2023 616B2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
▼ 287056 Boone County 632 West Fairview Street Room #4 Albion NE 7 (Kansas City) 07/24/2025 1D25B9-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
G0584 Verbal orders Element
▼ 287059 Cherry County Hospital P O Box 410, 510 North Green Street Valentine NE 7 (Kansas City) 05/25/2022 4EC49-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
▼ 287059 Cherry County Hospital P O Box 410, 510 North Green Street Valentine NE 7 (Kansas City) 06/13/2019 ZKG011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0017 HHA Comprehensive Assessment in Disaster Standard
G0546 Last 5 days of every 60 days unless: Element
G0592 Revised plan of care Element
▼ 287060 Centerwell Certified Healthcare Corp. 8055 O Street, Suite 111 Lincoln NE 7 (Kansas City) 12/30/2025 1DFC0F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0592 Revised plan of care Element
▼ 287061 Morrill County Community Hospital 925 Main Street Bridgeport NE 7 (Kansas City) 02/08/2024 62394-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