S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 287090 Firstcare Home Health Of Eastern Nebraska, Inc. 3901 Normal Blvd, Suite 102 Lincoln NE 7 (Kansas City) 05/09/2018 PYR511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0420 [Removed and Reserved] Element
▼ 287095 Providence Medical Center, Inc. 803 Providence Road Wayne NE 7 (Kansas City) 04/07/2022 3883E-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
G0592 Revised plan of care Element
▼ 287095 Providence Medical Center, Inc. 803 Providence Road Wayne NE 7 (Kansas City) 03/15/2019 KJVU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 287101 York General Health Care Services 2319 N Lincoln Avenue York NE 7 (Kansas City) 06/07/2023 60032-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0592 Revised plan of care Element
▼ 287104 The Evangelical Lutheran Good Samaritan Society 300 S. First Ave. Hastings NE 7 (Kansas City) 08/07/2025 6541A-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0654 Track adverse patient events Standard
▼ 287104 The Evangelical Lutheran Good Samaritan Society 300 S. First Ave. Hastings NE 7 (Kansas City) 01/30/2025 6541A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 287106 E Medical Group Of Nebraska No. 2, Llc 711 East 11th Street, Suite A Mccook NE 7 (Kansas City) 06/26/2025 66894-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 287106 E Medical Group Of Nebraska No. 2, Llc 711 East 11th Street, Suite A Mccook NE 7 (Kansas City) 08/15/2022 4F43E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
▼ 287110 Alegent Creighton Health Po Box 489, 202 S Main Street Plainview NE 7 (Kansas City) 06/12/2025 666C9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1022 Discharge and transfer summaries Element
▼ 287110 Alegent Creighton Health Po Box 489, 202 S Main Street Plainview NE 7 (Kansas City) 06/16/2022 4EE58-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element