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
▼ 248051 Essentia Health Moose Lake 30 Arrowhead Lane Moose Lake MN 5 (Chicago) 02/28/2020 QYGX11 Complaint, 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
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 248052 St. Mary's Regional Health Center 114 Frazee Street East Detroit Lakes MN 5 (Chicago) 03/12/2026 1E3E81-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0372 Encoding and transmitting OASIS Standard
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
▼ 248052 St. Mary's Regional Health Center 114 Frazee Street East Detroit Lakes MN 5 (Chicago) 07/12/2023 60161-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 248052 St. Mary's Regional Health Center 114 Frazee Street East Detroit Lakes MN 5 (Chicago) 03/01/2021 RWUB11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0468 Provide contact info other services Element
G0488 Immediate reporting of abuse by all staff Element
▼ 248052 St. Mary's Regional Health Center 114 Frazee Street East Detroit Lakes MN 5 (Chicago) 09/14/2018 2NAP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 248054 Professional Resource Network Hhc 4951 West 77th Street, Ste. 110 Edina MN 5 (Chicago) 05/18/2023 5F856-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
E0033 Methods for Sharing Information Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 248054 Professional Resource Network Hhc 4951 West 77th Street, Ste. 110 Edina MN 5 (Chicago) 03/10/2022 38524-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 248054 Professional Resource Network Hhc 4951 West 77th Street, Ste. 110 Edina MN 5 (Chicago) 08/12/2021 YZ3J11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0430 Be free from abuse Element
G0802 Duties of a HH aide Element
▼ 248054 Professional Resource Network Hhc 4951 West 77th Street, Ste. 110 Edina MN 5 (Chicago) 11/01/2018 9IBS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 248055 Divine Healthcare Corporation 856 University Avenue West Saint Paul MN 5 (Chicago) 12/05/2025 1DC2C3-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
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0576 All orders recorded in plan of care Element
G0716 Preparing clinical notes Element
G0720 Participate in the HHA's QAPI program; Element