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
▼ 247203 Home Health Agency 201 Mark Drive Ortonville MN 5 (Chicago) 02/25/2025 651EE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0514 RN performs assessment Element
G0802 Duties of a HH aide Element
▼ 247209 Bayada Home Health Care Inc 3033 Campus Drive, #E280 Plymouth MN 5 (Chicago) 07/23/2025 66660-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
G0468 Provide contact info other services Element
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
▼ 247209 Bayada Home Health Care Inc 3033 Campus Drive, #E280 Plymouth MN 5 (Chicago) 08/07/2024 63C4B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0488 Immediate reporting of abuse by all staff Element
G0984 In accordance with current clinical practice Element
▼ 247209 Bayada Home Health Care Inc 3033 Campus Drive, #E280 Plymouth MN 5 (Chicago) 12/02/2022 5E5AB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0710 Provide services in the plan of care Element
▼ 247209 Bayada Home Health Care Inc 3033 Campus Drive, #E280 Plymouth MN 5 (Chicago) 02/25/2021 C4LN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 247209 Bayada Home Health Care Inc 3033 Campus Drive, #E280 Plymouth MN 5 (Chicago) 04/11/2018 5XN811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
▼ 247212 Glacial Ridge Home Care 219 First Street Southeast Glenwood MN 5 (Chicago) 08/14/2024 6396E-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
▼ 247212 Glacial Ridge Home Care 219 First Street Southeast Glenwood MN 5 (Chicago) 09/09/2021 T3FK11 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
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 247213 Chi Health Connect At Home - Fargo 1110 Highway 75 North Suite A Breckenridge MN 5 (Chicago) 12/19/2019 GI0W11 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
▼ 247215 Sanford Bemidji Home Care And Hospice 3201 Pine Ridge Ave Nw Ste A Bemidji MN 5 (Chicago) 09/07/2023 60BCA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element