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
▼ 357029 Sanford Home Care Home Health 910 18th St Nw Mandan ND 8 (Denver) 03/30/2022 385BC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0604 Integrate all orders Element
G0710 Provide services in the plan of care Element
▼ 357029 Sanford Home Care Home Health 910 18th St Nw Mandan ND 8 (Denver) 09/27/2018 42RZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0814 Non-skilled direct observation every 60 days Element
▼ 357030 Chi - Health Connect At Home - Fargo 1301 15th Avenue West Williston ND 8 (Denver) 08/14/2019 C9LB11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0984 In accordance with current clinical practice Element
▼ 357037 Sanford Home Care 3223 32nd Ave S Fargo ND 8 (Denver) 07/29/2025 1D2500-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 357044 Trinity Hospitals-Home Health 831 S Broadway Ste 102 Minot ND 8 (Denver) 01/28/2025 651B7-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
G0808 Onsite supervisory visit every 14 days Element
▼ 357044 Trinity Hospitals-Home Health 831 S Broadway Ste 102 Minot ND 8 (Denver) 05/11/2022 38A39-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
G0984 In accordance with current clinical practice Element
▼ 357044 Trinity Hospitals-Home Health 831 S Broadway Ste 102 Minot ND 8 (Denver) 01/24/2019 5WSZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 357059 Benedictine Living Communities Inc. 1307 N 7th St Wahpeton ND 8 (Denver) 03/24/2026 1F38F5-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
▼ 357059 Benedictine Living Communities Inc. 1307 N 7th St Wahpeton ND 8 (Denver) 01/29/2020 LLDU11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0592 Revised plan of care Element
▼ 357308 Kayd Home Care Llc 725 Memorial Hwy, Suite B Bismarck ND 8 (Denver) 01/08/2025 64F70-H1 Initial Certification
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
G0802 Duties of a HH aide Element
G0810 If concern identified, direct observation Element