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
▼ 247230 Good Shepherd Lutheran Home Of Sauk Rapids, Mn 1115 Fourth Avenue North Sauk Rapids MN 5 (Chicago) 04/11/2024 627B3-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
G0580 Only as ordered by a physician Element
▼ 247230 Good Shepherd Lutheran Home Of Sauk Rapids, Mn 1115 Fourth Avenue North Sauk Rapids MN 5 (Chicago) 07/22/2021 NWGM11 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
G0718 Communication with physicians Element
▼ 247230 Good Shepherd Lutheran Home Of Sauk Rapids, Mn 1115 Fourth Avenue North Sauk Rapids MN 5 (Chicago) 01/10/2018 Y5UG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0330 COMPREHENSIVE ASSESSMENT OF PATIENTS Condition
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0161 PLAN OF CARE Standard
G0331 INITIAL ASSESSMENT VISIT Standard
G0337 DRUG REGIMEN REVIEW Standard
G0339 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 247236 Town And Country Home Health Care 700 North Monroe Street Minneota MN 5 (Chicago) 09/13/2023 60BD7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
G0588 Reviewed, revised by physician every 60 days Element
G0808 Onsite supervisory visit every 14 days Element
▼ 247236 Town And Country Home Health Care 700 North Monroe Street Minneota MN 5 (Chicago) 12/06/2018 JUWC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0042 Integrated EP Program Standard
G0376 Transmittal of OASIS data Standard
G0574 Plan of care must include the following Element
▼ 247260 Equity Services Of St Paul 3550 Labore Road, Ste 9 Saint Paul MN 5 (Chicago) 08/14/2019 VMPU11 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
▼ 247263 Guardian Angels Elim Home Care 403 Main Street Nw Elk River MN 5 (Chicago) 02/13/2025 65150-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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 247263 Guardian Angels Elim Home Care 403 Main Street Nw Elk River MN 5 (Chicago) 01/21/2022 382F6-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0972 Report all branch locations to SA Element
▼ 247263 Guardian Angels Elim Home Care 403 Main Street Nw Elk River MN 5 (Chicago) 01/24/2019 1KEJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 247268 Johnson Memorial Home Care 1290 Locust Street Dawson MN 5 (Chicago) 02/07/2019 532W11 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