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
277087 Easterseals-Goodwill Northern Rocky Mountain Inc 425 1st Ave N Great Falls MT 8 (Denver) 03/06/2019 L35711 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
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
G0710 Provide services in the plan of care Element
277090 Benefis Community Care, Inc. 1411 9th Street South Suite 1 Great Falls MT 8 (Denver) 03/26/2026 1F5435-H1 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
277090 Benefis Community Care, Inc. 1411 9th Street South Suite 1 Great Falls MT 8 (Denver) 03/30/2023 5F51C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
277090 Benefis Community Care, Inc. 1411 9th Street South Suite 1 Great Falls MT 8 (Denver) 01/09/2020 JNS011 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
G0550 At discharge Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
277093 Community Hospital Of Anaconda 118 East Seventh St Ste 1a Anaconda MT 8 (Denver) 03/17/2021 T80011 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
E0042 Integrated EP Program Standard
277094 Home Health Services, Inc. 2445 S. 3rd St. W. Ste. B Missoula MT 8 (Denver) 02/13/2025 6553F-H1 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
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
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
G0808 Onsite supervisory visit every 14 days Element
277094 Home Health Services, Inc. 2445 S. 3rd St. W. Ste. B Missoula MT 8 (Denver) 03/02/2022 3855A-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
G0682 Infection Prevention Standard
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
277094 Home Health Services, Inc. 2445 S. 3rd St. W. Ste. B Missoula MT 8 (Denver) 03/20/2019 3ROF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
277097 Clark Fork Healthcare Llc 205 Haggerty Ln Ste 260 Bozeman MT 8 (Denver) 01/29/2025 65050-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0574 Plan of care must include the following Element
G0722 Participate in HHA-sponsored in-service Element
G0974 Direct support and administrative control Element
277097 Clark Fork Healthcare Llc 205 Haggerty Ln Ste 260 Bozeman MT 8 (Denver) 02/16/2022 38449-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
G0574 Plan of care must include the following Element