S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
277053 Kalispell Regional Medical Center Inc. 275 Corporate Dr Ste 600 Kalispell MT 8 (Denver) 02/12/2026 1E3200-H1 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
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
277053 Kalispell Regional Medical Center Inc. 275 Corporate Dr Ste 600 Kalispell MT 8 (Denver) 02/15/2023 5EF84-H1 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
277053 Kalispell Regional Medical Center Inc. 275 Corporate Dr Ste 600 Kalispell MT 8 (Denver) 02/06/2020 EZXZ11 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
G0512 Standard: Initial assessment visit. Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G1022 Discharge and transfer summaries Element
277058 Beta Factor Home Care, Llc 19 Discovery Drive Butte MT 8 (Denver) 10/27/2022 5DFE5-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 Patient rights Condition
G0654 Track adverse patient events Standard
G0958 Clinical manager Standard
G0428 Property and person treated with respect Element
G0430 Be free from abuse Element
G0478 Investigate complaints made by patient Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0486 Protect patient during investigation Element
G0710 Provide services in the plan of care Element
277058 Beta Factor Home Care, Llc 19 Discovery Drive Butte MT 8 (Denver) 11/14/2019 CI7911 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
G0684 Infection control Standard
G0460 Patient refuses services 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
277060 Livingston Healthcare 320 Alpenglow Lane Livingston MT 8 (Denver) 08/14/2024 63D3D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
277060 Livingston Healthcare 320 Alpenglow Lane Livingston MT 8 (Denver) 10/28/2021 37CF6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
277060 Livingston Healthcare 320 Alpenglow Lane Livingston MT 8 (Denver) 10/31/2018 ZDVZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0984 In accordance with current clinical practice Element
277066 Memorial Hospital Association 2525 N Broadway Red Lodge MT 8 (Denver) 04/23/2025 65EEC-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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
277066 Memorial Hospital Association 2525 N Broadway Red Lodge MT 8 (Denver) 02/01/2024 620AE-H1 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
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0750 Home health aide services 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
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster 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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
E0042 Integrated EP Program Standard
G0374 Accuracy of encoded OASIS data Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0774 12 hours inservice every 12 months Standard
G1028 Protection of records Standard
G0536 A review of all current medications Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0722 Participate in HHA-sponsored in-service Element
G0754 A qualified HH aide successfully completed: Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element