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
▼ 287128 Physicians Choice Nebraska, Llc 8212 F Street Omaha NE 7 (Kansas City) 10/10/2018 QY5211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 287129 The Evangelical Lutheran Good Samaritan Society 2209 East 32nd Street Kearney NE 7 (Kansas City) 07/01/2024 638B9-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0592 Revised plan of care Element
▼ 287129 The Evangelical Lutheran Good Samaritan Society 2209 East 32nd Street Kearney NE 7 (Kansas City) 03/21/2018 3X0Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0430 Be free from abuse Element
▼ 287130 Ify's Home Health Care, Inc. 11711 Arbor Street, Suite 210 Omaha NE 7 (Kansas City) 08/26/2024 61DB5-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0576 All orders recorded in plan of care Element
▼ 287130 Ify's Home Health Care, Inc. 11711 Arbor Street, Suite 210 Omaha NE 7 (Kansas City) 01/02/2024 61DB5-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
G0574 Plan of care must include the following Element
▼ 287130 Ify's Home Health Care, Inc. 11711 Arbor Street, Suite 210 Omaha NE 7 (Kansas City) 02/12/2018 8W0811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 287131 Recover Health Of Iowa, Inc. 11414 West Center Road #125 Omaha NE 7 (Kansas City) 01/18/2022 382D5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0592 Revised plan of care Element
▼ 287131 Recover Health Of Iowa, Inc. 11414 West Center Road #125 Omaha NE 7 (Kansas City) 12/27/2018 XP6B11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 287132 Midwest Home Health, Inc. 10832 Old Mill Road, Ste 3 Omaha NE 7 (Kansas City) 09/18/2025 1D7EED-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0596 Revisions communicated to patient and MDs Element
▼ 287132 Midwest Home Health, Inc. 10832 Old Mill Road, Ste 3 Omaha NE 7 (Kansas City) 04/23/2024 62E2D-H1 Complaint, 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