Deficiency Index

Every finding on record at Hennepin Home Health Care Inc

Brooklyn Park, Minnesota · CCN 247001

3 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of December 4, 2025

3 findings
E0000

A survey for compliance with CMS Appendix Z Emergency Preparedness Requirements, was conducted on 12/2/25 to 12/4/25 during a recertification survey. The facility is in compliance with the Appendix Z Emergency Preparedness Requirements.

G0000

On 12/2/25 to 12/4/25 a recertification and a complaint survey was conducted. This resulted in a standard survey at Hennepin Home Health, Inc. The agency was found to have not met the requirements at 42 CFR. Part 484 for Home Health Agencies. The cumulative effects of these findings resulted in the Home Health Agency’s inability to ensure provision of quality of care. Unduplicated census previous 12 months: 349 Total home visits conducted: 4 Parent Location visit: 8590 Edinburgh Center Drive Brooklyn Park, MN 55443 Hours of Operation: 8 AM-4:40 PM List total number of records reviewed: 10 The following complaint was reviewed with no deficiencies: H70019163C/127133243

G0372

Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This STANDARD is not met as evidenced by: Based on documentation and interview, the facility failed to report all OASIS data collected in accordance with federal regulations. Total number of records submitted beyond the 30 days was one hundred seventy-two, which equaled 6.14% of the submissions submitted. Findings include: On the HHA Error Summary by Agency report period of 1/1/25 to 12/2/25, the agency had an error code of -3330: record submitted late. The description included the submission was more than 30 days after completion on the new record. During an interview on 12/4/25 at 10:54 a.m., the administrator stated the agency's normal OASIS assessment process was to have the licensed nurse complete in the patient's electronic medical record and then office staff would transmit. The administrator stated they occasionally had issues with their Oasis software vendor and submissions being "kicked Back" and a few Oasis assessments were completed late. The agency policies OASIS Start of Care Process and OASIS Recertification Process both dated November of 2025, identified the facility will electronically report all OASIS data collected in accordance with federal regulations.

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Federal survey findings only. State licensure findings for home health agencies are not shown.

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