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
▼ 287061 Morrill County Community Hospital 925 Main Street Bridgeport NE 7 (Kansas City) 04/05/2018 EV3W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0520 5 calendar days after start of care Element
G0584 Verbal orders Element
▼ 287062 Interim Healthcare Of Lincoln, Llc 6040 South 58th Street, Suite A Lincoln NE 7 (Kansas City) 01/10/2018 J90K11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0160 PLAN OF CARE Standard
▼ 287071 Avera At Home Dba Avera@Home 209 East Benton Street, Suite 110 O' Neill NE 7 (Kansas City) 10/19/2023 6153A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0592 Revised plan of care Element
▼ 287072 The Evangelical Lutheran Good Samaritan Society 12875 Deauville Drive Omaha NE 7 (Kansas City) 09/11/2024 61FE7-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
▼ 287072 The Evangelical Lutheran Good Samaritan Society 12875 Deauville Drive Omaha NE 7 (Kansas City) 01/18/2024 61FE7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 287073 Johnson County Hospital 509 Broadway Tecumseh NE 7 (Kansas City) 12/16/2025 1DEA7F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 287075 Franciscan Care Services, Inc. 435 North Monitor Street West Point NE 7 (Kansas City) 02/12/2026 1E445F-H1 Complaint, 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
▼ 287075 Franciscan Care Services, Inc. 435 North Monitor Street West Point NE 7 (Kansas City) 11/03/2022 5E3B3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0592 Revised plan of care Element
▼ 287087 Vsl Vetter Home Health Care Of Central Nebr. Llc 4111 4th Ave., Suite 50 Kearney NE 7 (Kansas City) 07/12/2023 605F3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0520 5 calendar days after start of care Element
G0592 Revised plan of care Element
▼ 287090 Firstcare Home Health Of Eastern Nebraska, Inc. 3901 Normal Blvd, Suite 102 Lincoln NE 7 (Kansas City) 05/09/2024 6309D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard