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Northeast Kansas Multi County HHA

(785) 742-7192907 S 2ND St., Hiawatha, KS 66434
CMS Certification Number 177031 · Government Operated · Medicare-certified since 12/07/1972
10deficiencies since 2018
0serious
2inspections
3CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2023-08-30

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Local, State, Tribal Collaboration Process

The Home Health Agency (HHA) failed to include information addressing the process for cooperation and collaboration with local, regional, state and federal emergency preparedness officials in their Emergency Preparedness Plan (EPP).

Source: CMS Form 2567, inspection 2023-08-30, tag E0009 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

The Home Health Agency (HHA) failed to include information outlining procedures for follow up for patients and staff in their Emergency Preparedness Plan (EPP).

Source: CMS Form 2567, inspection 2023-08-30, tag E0021 · view on CMS
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Moderate Policies/Procedures-Volunteers And Staffing

The Home Health Agency (HHA) failed to ensure emergency preparedness policies and procedures included the use of volunteers during an emergency.

Source: CMS Form 2567, inspection 2023-08-30, tag E0024 · view on CMS
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Minor Participate In Care

Staff interview the home health agency skilled staff failed to ensure the patient's right to participate in, be informed about, and consent or refuse care in advance of and during treatment with respect to the disciplines that will furnish the care and the frequency of visits for 6 of 7 sample…

Source: CMS Form 2567, inspection 2023-08-30, tag G0434 · view on CMS
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Minor Only As Ordered By A Physician

The Home Health Agency (HHA) failed to ensure that services and treatments were provided only as ordered by the physician, in that, visits were made to provide wound care without physician orders for 1 of 7 sample patients (Patient 4).

Source: CMS Form 2567, inspection 2023-08-30, tag G0580 · view on CMS
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Minor Discharge And Transfer Summaries

The home health agency (HHA) failed to send a transfer summary to the facility were the patient was receiving in-patient health care services for 1 of 1 patients (Patient 6).

Source: CMS Form 2567, inspection 2023-08-30, tag G1022 · view on CMS
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Inspection 2019-04-11

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Responsibilities Of Skilled Professionals

Staff interview the home health agency failed to ensure the Skilled Professionals assumed the responsibility to: 1. Ensure each patient's Plan of Care was individualized to include: a specified frequency and indication for use, was written next to all written orders for PRN (whenever necessary)…

Source: CMS Form 2567, inspection 2019-04-11, tag G0704 · view on CMS
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Moderate Contents Of Clinical Record

The agency failed to ensure the contents of each clinical record were complete with answers to each categorized sections of the OASIS (Outcome and Assessment Information Set, a standardized, patient-specific assessment that Home Health Agencies must collect to participate in the Medicare program…

Source: CMS Form 2567, inspection 2019-04-11, tag G1010 · view on CMS
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Minor Plan Of Care Must Include The Following

Staff interview the home health agency failed to ensure each patient's Plan of Care was individualized, to include: 1. A specified frequency and indication for use, written next to all orders for PRN (as needed) medications on a patient's Plan of Care, for three of seven sampled patients, (Patient…

Source: CMS Form 2567, inspection 2019-04-11, tag G0574 · view on CMS
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Minor Integrate All Orders

The agency failed to ensure the skilled nurse integrated all of an assisted-living facility patient's, physician's orders with staff members of the home health, assisted living, and all physicians involved in the care of the patient, to assure coordination of all services and interventions were…

Source: CMS Form 2567, inspection 2019-04-11, tag G0604 · view on CMS
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