S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
248078 International Quality Homecare 3900 Fairway Place Nw Rochester MN 5 (Chicago) 11/05/2019 2N1911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0430 Be free from abuse Element
G0488 Immediate reporting of abuse by all staff Element
248078 International Quality Homecare 3900 Fairway Place Nw Rochester MN 5 (Chicago) 08/21/2019 XZRE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
248078 International Quality Homecare 3900 Fairway Place Nw Rochester MN 5 (Chicago) 04/23/2019 5ROZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
248078 International Quality Homecare 3900 Fairway Place Nw Rochester MN 5 (Chicago) 01/11/2019 RH6311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0430 Be free from abuse Element
G0808 Onsite supervisory visit every 14 days Element
248078 International Quality Homecare 3900 Fairway Place Nw Rochester MN 5 (Chicago) 12/12/2018 GLTT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0034 Information on Occupancy/Needs Standard
G0572 Plan of care 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
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0716 Preparing clinical notes Element
G0814 Non-skilled direct observation every 60 days Element
248080 Divine Home Care Inc 322 Southwest 2nd Street Willmar MN 5 (Chicago) 09/23/2025 1D7625-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
248080 Divine Home Care Inc 322 Southwest 2nd Street Willmar MN 5 (Chicago) 07/15/2025 66664-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
248080 Divine Home Care Inc 322 Southwest 2nd Street Willmar MN 5 (Chicago) 02/09/2021 ZHUC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
248080 Divine Home Care Inc 322 Southwest 2nd Street Willmar MN 5 (Chicago) 06/01/2018 Z1JY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
248081 Regency Home Healthcare Services, Llc 10467 93rd Avenue North Maple Grove MN 5 (Chicago) 06/30/2026 236E3A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element