S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 248129 Accurate Home Care Llc 9000 Quantrelle Ave Ne, Ste 200 Otsego MN 5 (Chicago) 09/24/2025 1D62B9-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
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0616 Patient medication schedule/instructions Element
▼ 248129 Accurate Home Care Llc 9000 Quantrelle Ave Ne, Ste 200 Otsego MN 5 (Chicago) 12/20/2023 61BD5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
▼ 248129 Accurate Home Care Llc 9000 Quantrelle Ave Ne, Ste 200 Otsego MN 5 (Chicago) 05/19/2022 4EB19-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 248129 Accurate Home Care Llc 9000 Quantrelle Ave Ne, Ste 200 Otsego MN 5 (Chicago) 12/01/2020 OHTY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0702 Services by skilled professionals Standard
G0608 Coordinate care delivery Element
▼ 248129 Accurate Home Care Llc 9000 Quantrelle Ave Ne, Ste 200 Otsego MN 5 (Chicago) 12/11/2019 23RZ11 Complaint, Sample Validation
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
G0372 Encoding and transmitting OASIS Standard
G0430 Be free from abuse Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 248129 Accurate Home Care Llc 9000 Quantrelle Ave Ne, Ste 200 Otsego MN 5 (Chicago) 08/01/2019 JKTO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
▼ 248134 Serenity Health Care Services 1201 37th Avenue North Minneapolis MN 5 (Chicago) 08/01/2019 K90W11 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
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
▼ 248135 Home Care Givers Inc 806 7th Street #200 Saint Paul MN 5 (Chicago) 09/12/2019 F3BB11 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
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0686 Infection control education Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body Standard
G0944 Administrator must: Standard
G0958 Clinical manager Standard
G1052 Administrator Standard
G0410 Information to patient Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0776 Inservice training supervised by RN Element
G0814 Non-skilled direct observation every 60 days Element
▼ 248136 Provident Home Healthcare 2852 Anthony Lane South St Anthony MN 5 (Chicago) 03/14/2025 659C2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
▼ 248136 Provident Home Healthcare 2852 Anthony Lane South St Anthony MN 5 (Chicago) 02/07/2025 6552D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element