S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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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
▼ 147481 Prime Healthcare Home Care And Hospice, Llc 50 Uno Circle, Suite East Joliet IL 5 (Chicago) 04/11/2019 0G2Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G1014 Interventions and patient response Element
▼ 147486 Red Bud Regional Home Care Services, Llc 115 W. Market Street, Suite 101 Red Bud IL 5 (Chicago) 04/14/2022 38825-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
G0574 Plan of care must include the following Element
▼ 147490 Alterna Care Inc. 319 East Madison Suite 2c Springfield IL 5 (Chicago) 02/04/2021 OJT211 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0944 Administrator must: Standard
G1028 Protection of records Standard
G1030 Retrieval of records Standard
G0378 OASIS data transmission format Element
G0580 Only as ordered by a physician Element
G0946 Administrator appointed by governing body Element
G0972 Report all branch locations to SA Element
▼ 147498 Nightengale Of Chicago Inc. 11716 South Western Avenue Chicago IL 5 (Chicago) 03/07/2025 657BD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0514 RN performs assessment Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
▼ 147498 Nightengale Of Chicago Inc. 11716 South Western Avenue Chicago IL 5 (Chicago) 12/23/2021 37F5D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0434 Participate in care Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 147498 Nightengale Of Chicago Inc. 11716 South Western Avenue Chicago IL 5 (Chicago) 01/04/2019 ZOTC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 147503 Gaffey Home Nursing & Hospice, Inc 3408 East 23rd Street Sterling IL 5 (Chicago) 04/23/2026 22C3CA-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
G0444 State toll free HH telephone hotline Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
▼ 147503 Gaffey Home Nursing & Hospice, Inc 3408 East 23rd Street Sterling IL 5 (Chicago) 01/13/2023 5EA81-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0434 Participate in care Element
G0484 Document complaint and resolution Element
G1014 Interventions and patient response Element
▼ 147503 Gaffey Home Nursing & Hospice, Inc 3408 East 23rd Street Sterling IL 5 (Chicago) 03/06/2020 4P5O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0422 Written notice within 4 business days Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0616 Patient medication schedule/instructions Element
G0716 Preparing clinical notes Element
▼ 147530 Spoon River Home Health Services 48 N East St Farmington IL 5 (Chicago) 09/26/2024 640B2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G1024 Authentication Standard