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
▼ 247078 Accentcare Fairview Home Health - West, Llc 767 Eustis Street, Suite 150 Saint Paul MN 5 (Chicago) 04/30/2025 6601A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 247078 Accentcare Fairview Home Health - West, Llc 767 Eustis Street, Suite 150 Saint Paul MN 5 (Chicago) 02/13/2024 62324-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0484 Document complaint and resolution Element
▼ 247078 Accentcare Fairview Home Health - West, Llc 767 Eustis Street, Suite 150 Saint Paul MN 5 (Chicago) 08/31/2021 1967D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 247078 Accentcare Fairview Home Health - West, Llc 767 Eustis Street, Suite 150 Saint Paul MN 5 (Chicago) 07/22/2019 3MU011 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 247078 Accentcare Fairview Home Health - West, Llc 767 Eustis Street, Suite 150 Saint Paul MN 5 (Chicago) 04/05/2018 QW6611 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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 247080 Renville County Phns 105 South 5th Street Suite 119h Olivia MN 5 (Chicago) 04/16/2025 65B7C-H1 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
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
▼ 247083 Clearwater Co Nsg Service 212 Main Avenue North Bagley MN 5 (Chicago) 06/28/2019 E1T711 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
▼ 247087 Presbyterian Homes Home Care 2845 Hamline Avenue North Roseville MN 5 (Chicago) 09/27/2023 6069F-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
G0454 HHA can no longer meet the patient's needs Element
G0808 Onsite supervisory visit every 14 days Element
▼ 247093 Intrepid Of The Twin Cities, Inc. 3433 Broadway St Ne, Ste 240a Minneapolis MN 5 (Chicago) 11/01/2019 T53311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0434 Participate in care Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 247094 Lifecare Medical Center 715 Delmore Drive Roseau MN 5 (Chicago) 08/08/2024 6396F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element