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
351502 Trinity Hospitals - Hospice 1015 S Broadway Ste 306 Minot ND 8 (Denver) 05/14/2025 State Agency 65916-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0647 Level Of Activity Standard
351504 Sanford Home Care Hospice 910 18th Street Nw Mandan ND 8 (Denver) 02/24/2022 State Agency WETL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0775 Hospice Plan Of Care Standard
351504 Sanford Home Care Hospice 910 18th Street Nw Mandan ND 8 (Denver) 06/01/2022 State Agency WETL12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0775 Hospice Plan Of Care Standard
351504 Sanford Home Care Hospice 910 18th Street Nw Mandan ND 8 (Denver) 06/26/2024 State Agency 634BC-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0678 Content Standard
351504 Sanford Home Care Hospice 910 18th Street Nw Mandan ND 8 (Denver) 08/13/2024 State Agency 634BC-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0678 Content Standard
351506 Chi - Health Connect At Home - Fargo 1310 East Main Suite 339 Bismarck ND 8 (Denver) 07/23/2025 State Agency 1D0C1F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0579 Prevention Standard
351506 Chi - Health Connect At Home - Fargo 1310 East Main Suite 339 Bismarck ND 8 (Denver) 09/10/2025 State Agency 1D0C1F-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0579 Prevention Standard
351507 Chi Health Connect At Home-Fargo 986 2nd Ave W Dickinson ND 8 (Denver) 05/29/2025 State Agency 662D4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0553 Review Of The Plan Of Care Standard
351507 Chi Health Connect At Home-Fargo 986 2nd Ave W Dickinson ND 8 (Denver) 07/10/2025 State Agency 662D4-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0553 Review Of The Plan Of Care Standard
351509 Heart Of America Hospice 406 10th St Se Suite 36 Rugby ND 8 (Denver) 08/13/2025 State Agency 1D2F42-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0629 Supervision Of Hospice Aides Standard