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No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
815 Forest Avenue, Northfield, MN 55057
CMS Certification Number 247021
9deficiencies since 2018
1serious
1inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2019-07-11

· Recertification · 9 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The home health agency (HHA) failed to meet CFR 416.54, the Condition of Participation (COP) to develop an emergency preparedness program (EPP) which met all of the standards specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the…

Source: CMS Form 2567, inspection 2019-07-11, tag E0001 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

The home health agency (HHA) failed to develop and implement a comprehensive emergency preparedness plan (EPP) including conducting a comprehensive all-hazards facility and community based assessment to determine potential disasters which could affect the HHA; failed to determine the patient…

Source: CMS Form 2567, inspection 2019-07-11, tag E0004 · view on CMS
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Moderate Development Of Ep Policies And Procedures

The home health agency (HHA) failed to conduct a comprehensive all-hazards community based risk assessment to determine potential disasters which could impact the HHA, and develop corresponding policies and procedures to ensure patient safety and quality care during a disaster.

Source: CMS Form 2567, inspection 2019-07-11, tag E0013 · view on CMS
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Moderate Development Of Communication Plan

The home health agency (HHA) failed to develop a comprehensive emergency preparedness plan (EPP) which included a communication plan to ensure quality patient care and safety during a potential disaster.

Source: CMS Form 2567, inspection 2019-07-11, tag E0029 · view on CMS
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Moderate Ep Training And Testing

The home health agency (HHA) failed to develop a comprehensive emergency preparedness plan (EPP) to include the required testing and training components to ensure a timely, appropriate responses during a disaster event.

Source: CMS Form 2567, inspection 2019-07-11, tag E0036 · view on CMS
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Moderate Plan Of Care

The home health agency (HHA) failed to ensure 5 of 10 patients (P3, P5, P4, P11, P22) received the appropriate number of visits as ordered by the physician, that the physician was notified of missed visits or that physician orders were obtained for service provided (need to fix wording to match…

Source: CMS Form 2567, inspection 2019-07-11, tag G0572 · view on CMS
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Moderate Program Scope

The home health agency (HHA) to Quality Assurance (QA) meetings were held to ensure the provision of quality assessment and health care.

Source: CMS Form 2567, inspection 2019-07-11, tag G0642 · view on CMS
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Minor Information To Patient

The home health agency failed to provide all patients the combined State and Federal Bill of Rights prior to starting care for 10 of 10 patients (P1, P2, P3, P4, P5, P11, P12, P13, P21 and P22).

Source: CMS Form 2567, inspection 2019-07-11, tag G0410 · view on CMS
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Minor Non-Skilled Direct Observation Every 60 Days

The home health agency (HHA) failed to ensure direct supervision was conducted when home health aide only services were provided to 3 of 3 patients (P1, P11, P3) receiving home health aide only services.

Source: CMS Form 2567, inspection 2019-07-11, tag G0814 · view on CMS
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