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
▼ 287153 Ambassador Health At Home, Inc. 1240 N 19th Street Nebr City NE 7 (Kansas City) 06/13/2024 63668-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0592 Revised plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 287153 Ambassador Health At Home, Inc. 1240 N 19th Street Nebr City NE 7 (Kansas City) 07/19/2021 TOI811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G0592 Revised plan of care Element
▼ 287154 Vetter Home Health Care, Llc 600 Brookestone Meadows Plz Ste100 Elkhorn NE 7 (Kansas City) 08/12/2025 1D3C0F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0037 EP Training Program Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0984 In accordance with current clinical practice Element
▼ 287154 Vetter Home Health Care, Llc 600 Brookestone Meadows Plz Ste100 Elkhorn NE 7 (Kansas City) 08/30/2022 4F539-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 28K001 Quality Living Inc Home Health 6404 N 70th Plaza Omaha NE 7 (Kansas City) 12/07/2018 K2WN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0544 Update of the comprehensive assessment Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 28K004 Craig Home Care Inc. 1811 W 2nd Street, Ste Ll200 Grand Island NE 7 (Kansas City) 09/11/2018 P0O711 Complaint
Deficiency Tag Deficiency Description Tag Type
G1008 Clinical records Condition
G0578 Conformance with physician orders Standard
G0576 All orders recorded in plan of care Element
G0968 Assure implementation of plan of care Element
▼ 28K004 Craig Home Care Inc. 1811 W 2nd Street, Ste Ll200 Grand Island NE 7 (Kansas City) 07/16/2018 N1V611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0578 Conformance with physician orders Standard
G0488 Immediate reporting of abuse by all staff Element
▼ 28K004 Craig Home Care Inc. 1811 W 2nd Street, Ste Ll200 Grand Island NE 7 (Kansas City) 02/08/2018 5A3K11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 297008 Lhcg Cxxxviii, Llc 9450 Double R Blvd Suite 110 Reno NV 9 (San Francisco) 06/16/2022 4EEAE-H1 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
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1014 Interventions and patient response Element
▼ 297008 Lhcg Cxxxviii, Llc 9450 Double R Blvd Suite 110 Reno NV 9 (San Francisco) 03/20/2019 VXO911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0536 A review of all current medications Element