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
▼ 287110 Alegent Creighton Health Po Box 489, 202 S Main Street Plainview NE 7 (Kansas City) 07/16/2019 599N11 Complaint, 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
▼ 287112 Brown County Hospital Home Health 945 East Zero Street Ainsworth NE 7 (Kansas City) 06/06/2019 Z1P811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0592 Revised plan of care Element
▼ 287122 Elite Professionals Home Care, Llc 3901 Faulkner Dr Lincoln NE 7 (Kansas City) 05/06/2026 231599-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
G0584 Verbal orders Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 287122 Elite Professionals Home Care, Llc 3901 Faulkner Dr Lincoln NE 7 (Kansas City) 04/24/2023 5F9CD-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
G0682 Infection Prevention Standard
▼ 287122 Elite Professionals Home Care, Llc 3901 Faulkner Dr Lincoln NE 7 (Kansas City) 02/22/2018 PFKG11 Complaint
Deficiency Tag Deficiency Description Tag Type
G1028 Protection of records Standard
G0430 Be free from abuse Element
G0580 Only as ordered by a physician Element
G0804 Aides are members of interdisciplinary team Element
▼ 287124 Amakes Quality Home Care Inc. 11306 Davenport Street Omaha NE 7 (Kansas City) 11/30/2023 61A2B-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0954 Ensures qualified pre-designated person Element
▼ 287125 Charter Health Holdings, Inc. 9140 West Dodge Road, Ste. 285 Omaha NE 7 (Kansas City) 01/31/2023 5EE35-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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0576 All orders recorded in plan of care Element
▼ 287126 Nebraska Home Health - Opco, Llc 13306 A St., Suite C Omaha NE 7 (Kansas City) 05/15/2023 5FCF4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 287128 Physicians Choice Nebraska, Llc 8212 F Street Omaha NE 7 (Kansas City) 11/20/2024 64BBF-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 287128 Physicians Choice Nebraska, Llc 8212 F Street Omaha NE 7 (Kansas City) 11/09/2021 37E81-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element