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

Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data are available from October 2021 through March 2026.

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 Hospice 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

Use these filters if you want to search by a specific CMS Certification Number (CCN).

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. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
241511 Sanford Bemidji Hospice 3201 Pine Ridge Avenue Northwest Suite A Bemidji MN 5 (Chicago) 09/27/2023 State Agency 60BCB-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
241512 Park Nicollet Methodist Hospital 4916 Excelsior Boulevard Saint Louis Park MN 5 (Chicago) 01/31/2024 State Agency 61B76-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
241513 Allina Health Hospice & Palliative Care 2925 Chicago Avenue South Mail Route 34100 Minneapolis MN 5 (Chicago) 04/14/2022 State Agency I3JG11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0900 Covid-19 Vaccination Of Facility Staff Standard
241513 Allina Health Hospice & Palliative Care 2925 Chicago Avenue South Mail Route 34100 Minneapolis MN 5 (Chicago) 12/06/2023 State Agency 61079-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
241513 Allina Health Hospice & Palliative Care 2925 Chicago Avenue South Mail Route 34100 Minneapolis MN 5 (Chicago) 12/06/2023 State Agency 61079-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0363 Corridor - Doors Standard
K0521 Hvac Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
241513 Allina Health Hospice & Palliative Care 2925 Chicago Avenue South Mail Route 34100 Minneapolis MN 5 (Chicago) 02/07/2024 State Agency 61079-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0363 Corridor - Doors Standard
K0521 Hvac Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
241513 Allina Health Hospice & Palliative Care 2925 Chicago Avenue South Mail Route 34100 Minneapolis MN 5 (Chicago) 08/28/2025 State Agency 1D5A49-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0517 Rights Of The Patient Standard
241514 Accentcare Fairview Hospice - West, Llc 767 Eustis Street #150 Saint Paul MN 5 (Chicago) 08/24/2022 State Agency 10TV11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
241514 Accentcare Fairview Hospice - West, Llc 767 Eustis Street #150 Saint Paul MN 5 (Chicago) 10/04/2023 State Agency 61190-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0031 Emergency Officials Contact Information Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0643 Training Standard
241519 Mayo Clinic Hospice 200 First Street Southwest Rochester MN 5 (Chicago) 09/20/2023 State Agency 61074-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0556 Coordination Of Services Standard