S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
247269 Good Neighbor Hhc Of Brainerd 7111 Forthun Road Ste 100 Baxter MN 5 (Chicago) 12/17/2024 64AF6-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
G0862 Laboratory services/CLIA waivers Standard
247269 Good Neighbor Hhc Of Brainerd 7111 Forthun Road Ste 100 Baxter MN 5 (Chicago) 04/28/2022 38572-H1 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
E0030 Names and Contact Information Standard
E0034 Information on Occupancy/Needs Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
247269 Good Neighbor Hhc Of Brainerd 7111 Forthun Road Ste 100 Baxter MN 5 (Chicago) 05/09/2019 P04511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0614 Visit schedule Element
G0718 Communication with physicians Element
247271 Accord 1515 Energy Park Drive Saint Paul MN 5 (Chicago) 10/17/2023 6107E-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
G0940 Organization and administration of services Condition
G0982 Skilled services furnished Standard
247271 Accord 1515 Energy Park Drive Saint Paul MN 5 (Chicago) 10/07/2022 5D843-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0464 Advise the patient of discharge for cause Element
247271 Accord 1515 Energy Park Drive Saint Paul MN 5 (Chicago) 07/01/2022 4EEED-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0458 Outcomes/goals have been achieved Element
G0464 Advise the patient of discharge for cause Element
G0962 Coordinate patient care Element
247271 Accord 1515 Energy Park Drive Saint Paul MN 5 (Chicago) 09/18/2019 QJYQ11 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
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
247273 Best Care Home Health Inc 3008 University Ave Southeast Minneapolis MN 5 (Chicago) 10/15/2020 M2P411 Complaint, Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
247273 Best Care Home Health Inc 3008 University Ave Southeast Minneapolis MN 5 (Chicago) 06/10/2019 ZG6J11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
247281 Interim Healthcare 332 W Superior Street Ste 204 Duluth MN 5 (Chicago) 07/11/2022 4F012-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0550 At discharge Element