S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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 HHA 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 and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 147435 Ucm Home Care Wyman Gordon Bldg 1 Ingalls D Harvey IL 5 (Chicago) 09/03/2021 19679-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 147435 Ucm Home Care Wyman Gordon Bldg 1 Ingalls D Harvey IL 5 (Chicago) 04/22/2021 UZIH11 Complaint, Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
▼ 147451 St. Joseph Medical Center 1701 E College Ave Bloomington IL 5 (Chicago) 01/30/2025 65018-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 147451 St. Joseph Medical Center 1701 E College Ave Bloomington IL 5 (Chicago) 01/27/2022 3819A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0710 Provide services in the plan of care Element
▼ 147451 St. Joseph Medical Center 1701 E College Ave Bloomington IL 5 (Chicago) 03/21/2019 PSB011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
▼ 147452 Silver Cross Home Health 710 Cedar Crossings Drive Suite 200 New Lenox IL 5 (Chicago) 12/11/2025 1D82B2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
▼ 147454 Presence Home Care 2380 E Dempster St Des Plaines IL 5 (Chicago) 01/13/2022 3812D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
▼ 147454 Presence Home Care 2380 E Dempster St Des Plaines IL 5 (Chicago) 02/01/2019 0R7811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 147479 Presence Home Care Elgin 799 South Mclean Blvd Elgin IL 5 (Chicago) 07/12/2019 K6LN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 147481 Prime Healthcare Home Care And Hospice, Llc 50 Uno Circle, Suite East Joliet IL 5 (Chicago) 07/03/2025 668CA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element