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
241519 Mayo Clinic 200 1st Street Sw Rochester MN 5 (Chicago) 09/22/2023 TJC 447669865 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
241519 Mayo Clinic Hospice 200 First Street Southwest Rochester MN 5 (Chicago) 10/16/2023 State Agency 61074-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0556 Coordination Of Services Standard
241520 Healthpartners Hospice And Palliative Care 8170 33rd Avenue South Bloomington MN 5 (Chicago) 03/08/2023 State Agency 5F001-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
241521 Essentia Health St Marys Hospice & Palliative Care Services 407 East 4th Street Duluth MN 5 (Chicago) 07/24/2023 State Agency 6067F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
L0511 Exercise Of Rights/Respect For Proprty/Person Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0839 Meal Service And Menu Planning Standard
241521 Essentia Health St Marys Hospice & Palliative Care Services 407 East 4th Street Duluth MN 5 (Chicago) 09/12/2023 State Agency 60FBA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0513 Rights Of The Patient Standard
241521 St. Mary's Medical Center 402 East Second Street Duluth MN 5 (Chicago) 04/18/2025 TJC 454406895 Initial
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0545 Content Of Plan Of Care Standard
L0663 Training Standard
L0700 Label Dispose Storage Drugs Standard
L0827 N/A Standard
241521 Essentia Health St Marys Hospice & Palliative Care Services 407 East 4th Street Duluth MN 5 (Chicago) 12/03/2025 State Agency 1D96F1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0519 Rights Of The Patient Standard
L0533 Update Of Comprehensive Assessment Standard
L0678 Content Standard
241524 St. Luke's Hospital Of Duluth 915 East 1st Street Duluth MN 5 (Chicago) 11/10/2023 TJC 447825405 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0598 Counseling Services Standard
L0645 Recruiting And Retaining Standard
L0663 Training Standard
L0678 Content Standard
L0685 Retrieval Of Clinical Records Standard
241535 Winona Area Hospice Services 175 East Wabasha Street Winona MN 5 (Chicago) 07/20/2023 State Agency 60154-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
241540 Good Shepherd Hospice 503 East Lincoln Street Hendricks MN 5 (Chicago) 05/10/2023 State Agency 5FA34-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0688 Managing Drugs And Biologicals Standard