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
▼ 277017 Eh Health Home Health Of The Northwest Llc 2827 Airport Road Suite A Helena MT 8 (Denver) 08/28/2025 1D49F2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0510 Comprehensive Assessment of Patients Condition
G0680 Infection prevention and control Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0430 Be free from abuse Element
G0478 Investigate complaints made by patient Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff Element
G0514 RN performs assessment Element
G0722 Participate in HHA-sponsored in-service Element
▼ 277017 Eh Health Home Health Of The Northwest Llc 2827 Airport Road Suite A Helena MT 8 (Denver) 10/17/2019 N1IL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0682 Infection Prevention Standard
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
▼ 277030 Pondera Medical Center 805 Sunset Blvd Conrad MT 8 (Denver) 12/05/2024 64C37-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0940 Organization and administration of services Condition
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0982 Skilled services furnished Standard
G0514 RN performs assessment Element
G0516 Skilled professional performs assessment Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G0966 Assure patient needs are continually assessed Element
▼ 277030 Pondera Medical Center 805 Sunset Blvd Conrad MT 8 (Denver) 01/09/2019 XFZN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 277033 Clark Fork Valley Home Health 10 Kruger Road Plains MT 8 (Denver) 03/22/2018 VS2311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0724 Supervise skilled professional assistants Standard
G0536 A review of all current medications Element
G0542 Incorporate OASIS items Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0764 HH aide training program topics Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
G0984 In accordance with current clinical practice Element
▼ 277039 Marcus Daly Mem Hosp Hha 1200 Westwood Dr Hamilton MT 8 (Denver) 02/21/2019 DVZM11 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
G0590 Promptly alert relevant physician of changes Element
G0728 Rehab services supervised by PT, OT Element
G0984 In accordance with current clinical practice Element
▼ 277040 Central Montana Medical Facilities, Inc. 408 Wendell Ave Lewistown MT 8 (Denver) 11/27/2019 N19211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
E0039 EP Testing Requirements Standard
G1028 Protection of records Standard
G0514 RN performs assessment Element
G0984 In accordance with current clinical practice Element
▼ 277041 Barrett Hospital Development Corporation 90 Mt Hwy 91 S Dillon MT 8 (Denver) 02/20/2020 VDKT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0726 Nursing services supervised by RN Element
G0728 Rehab services supervised by PT, OT Element
▼ 277045 Stillwater Community Hospital Home Health Agency 407 N A St Columbus MT 8 (Denver) 01/24/2019 7O4V11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0984 In accordance with current clinical practice Element
▼ 277050 Phillips County Hospital Home Health 311 S 8th Ave E Malta MT 8 (Denver) 03/04/2021 STMN11 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
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0033 Methods for Sharing Information Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0986 Outpatient therapy services Standard
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0946 Administrator appointed by governing body Element