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
241607 Moments Hospice Of Rochester, Llc 1816 2nd Street Sw , Suite B Rochester MN 5 (Chicago) 08/12/2022 CHAP AUG1022_XDE_884580_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0678 Content Standard
241607 Moments Hospice Of Rochester, Llc 1816 2nd Street Sw , Suite B Rochester MN 5 (Chicago) 05/22/2025 CHAP MAY2025_ITH_884580_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
241608 Moments Hospice Of St Cloud, Llc 2229 Roosevelt Road, Suite 1 St Cloud MN 5 (Chicago) 05/16/2025 CHAP MAY1225_YXX_884579_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0644 Role Standard
L0647 Level Of Activity Standard
241608 Moments Hospice Of St Cloud Llc 2229 Roosevelt Road Suite 1 Saint Cloud MN 5 (Chicago) 08/08/2025 State Agency 1D35DB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0558 Coordination Of Services Standard
241609 Moments Hospice Of Duluth, Llc 4897 Miller Trunk Hwy, Suite 220 Hermantown MN 5 (Chicago) 11/13/2025 CHAP NOV1025_MGO_884950_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
241610 Lifespark Hospice, Llc 5320 West 23rd Street St Louis Park MN 5 (Chicago) 06/22/2023 ACHC 1176189 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0661 Training Standard
L0662 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
241611 Avalon Hospice Minnesota, Llc 8000 W 78th Street Suite 210 Edina MN 5 (Chicago) 09/07/2023 ACHC 1199114 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0025 Arrangement With Other Facilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0633 Supervision Of Hospice Aides Standard
L0663 Training Standard
L0673 Content Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
241612 Hospice Of Minnesota, Llc 4140 Richard Ave., Bldg 6, Suite 320 Hermantown MN 5 (Chicago) 02/28/2024 ACHC 1213571 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0679 Authentication Standard
241613 St Croix Hospice Llc 2580 Bridge Ave Albert Lea MN 5 (Chicago) 06/16/2022 CHAP JUN1422_CAH_8548053_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
241613 St Croix Hospice Llc 2580 Bridge Ave Albert Lea MN 5 (Chicago) 03/28/2025 CHAP MAR2425_REE_8548053_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
L0591 Nursing Services Standard
L0629 Supervision Of Hospice Aides Standard