S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 248038 New Dimensions Home Health Care Inc. 312 North Tower Road Fergus Falls MN 5 (Chicago) 10/30/2020 BFTL11 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
G0406 Patient rights Condition
G0680 Infection prevention and control Condition
G0682 Infection Prevention Standard
G0430 Be free from abuse Element
G0482 Mistreatment, neglect or abuse Element
G0488 Immediate reporting of abuse by all staff Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 248045 St Marys Regional Health Center 115 West Second Street Graceville MN 5 (Chicago) 06/22/2023 5FC4D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0548 Within 48 hours of the patient's return Element
▼ 248046 Crest View Home Health Care 1515 44th Avenue Ne Columbia Heights MN 5 (Chicago) 05/08/2019 NST211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 248047 Safety Care Inc 931 - A University Avenue Saint Paul MN 5 (Chicago) 08/20/2025 1D0DDB-H1 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
G0682 Infection Prevention Standard
G0984 In accordance with current clinical practice Element
▼ 248047 Safety Care Inc 931 - A University Avenue Saint Paul MN 5 (Chicago) 07/12/2018 L7Q711 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0032 Primary/Alternate Means for Communication Standard
E0039 EP Testing Requirements Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 248048 Barnabas Health Care Services, Inc 521 Charles St. Ste 202 Brainerd MN 5 (Chicago) 03/11/2025 655CB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
G0478 Investigate complaints made by patient Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0814 Non-skilled direct observation every 60 days Element
▼ 248048 Barnabas Health Care Services, Inc 521 Charles St. Ste 202 Brainerd MN 5 (Chicago) 02/02/2023 4F688-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0564 Discharge or Transfer Summary Content Standard
G0578 Conformance with physician orders Standard
G0646 Program activities Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0514 RN performs assessment Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0800 Services provided by HH aide Element
▼ 248048 Barnabas Health Care Services, Inc 521 Charles St. Ste 202 Brainerd MN 5 (Chicago) 02/23/2022 3841B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0680 Infection prevention and control Condition
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0462 Before discharge for cause HHA must: Element
G0484 Document complaint and resolution Element
G0488 Immediate reporting of abuse by all staff Element
G1022 Discharge and transfer summaries Element
▼ 248048 Barnabas Health Care Services, Inc 521 Charles St. Ste 202 Brainerd MN 5 (Chicago) 06/27/2019 6Z1311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0646 Program activities Standard
G0774 12 hours inservice every 12 months Standard
▼ 248049 Accra Home Care Inc 225 West Cavour Avenue Suite D Fergus Falls MN 5 (Chicago) 01/30/2020 ULTF11 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
G0574 Plan of care must include the following Element