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
241585 Sholom Hospice 740 Kay Avenue Saint Paul MN 5 (Chicago) 05/29/2025 State Agency 65E0D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0555 Coordination Of Services Standard
241587 Mary T. Home Health, Inc. 11703 Xeon Blvd, Coon Rapids MN 5 (Chicago) 11/18/2021 CHAP NOV1621_SJQ_501870_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0504 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0523 Timeframe For Completion Of Assessment Standard
L0543 Plan Of Care Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0643 Training Standard
L0684 Discharge Or Transfer Of Care Standard
L0773 Hospice Plan Of Care Standard
241587 Mary T. Home Health, Inc. 11703 Xeon Blvd, Coon Rapids MN 5 (Chicago) 02/06/2023 CHAP FEB0623_RCJ_501870_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0774 Hospice Plan Of Care Standard
241587 Mary T. Home Health, Inc. 11703 Xeon Blvd, Coon Rapids MN 5 (Chicago) 09/20/2024 CHAP SEP1824_TRF_501870_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
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
L0626 Hospice Aide Assignments And Duties Standard
241588 Mille Lacs Health System Home Care Hospice 200 North Elm Street Onamia MN 5 (Chicago) 10/14/2021 State Agency 25Y211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0547 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
241588 Mille Lacs Health System Home Care Hospice 200 North Elm Street Onamia MN 5 (Chicago) 08/14/2024 State Agency 63970-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0541 Approach To Service Delivery Standard
241590 Interim Healthcare Of The Twin Cities, Inc. 2680 Arthur Street Roseville MN 5 (Chicago) 08/10/2023 State Agency 60941-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0581 Control Standard
241594 Brighton Hospice 4500 Park Glen Road Ste 475 Saint Louis Park MN 5 (Chicago) 01/12/2022 State Agency 3AES11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0591 Nursing Services Standard
241594 Brighton Hospice 4500 Park Glen Road Ste 475 Saint Louis Park MN 5 (Chicago) 11/29/2023 State Agency 613D9-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0677 Content Standard
L0684 Discharge Or Transfer Of Care Standard
241594 Brighton Hospice 4500 Park Glen Road Ste 475 Saint Louis Park MN 5 (Chicago) 11/19/2024 State Agency 64B4B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard