S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
147567 Allbest Home Health Care, Inc 475 W 55th Street Suite 211 Countryside IL 5 (Chicago) 01/24/2025 64F84-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0422 Written notice within 4 business days Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
147567 Allbest Home Health Care, Inc 475 W 55th Street Suite 211 Countryside IL 5 (Chicago) 11/05/2021 37D61-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
147569 Apple Home Healthcare, Ltd. 411 S Wells St Fl 12 Chicago IL 5 (Chicago) 01/03/2025 64C7E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0850 Disclosure of ownership and management info. Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
147569 Apple Home Healthcare, Ltd. 411 S Wells St Fl 12 Chicago IL 5 (Chicago) 10/21/2021 196C4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
147587 Crown Home Health Agency, Inc. 6336 N Cicero Ave, Ste 202 Chicago IL 5 (Chicago) 01/11/2024 61E91-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0452 Transfer and discharge Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
147587 Crown Home Health Agency, Inc. 6336 N Cicero Ave, Ste 202 Chicago IL 5 (Chicago) 02/11/2021 97XC11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
147589 Comprehensive Home Care Inc. 6321 North Avondale Ave. Suite Chicago IL 5 (Chicago) 09/22/2023 60EC5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0412 Written notice of patient's rights Element
G0434 Participate in care Element
G0550 At discharge Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
147597 Nursing Resource Home Health 4430 North Oak Park Avenue Harwood Heights IL 5 (Chicago) 07/14/2025 6687E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0808 Onsite supervisory visit every 14 days Element
147597 Nursing Resource Home Health 4430 North Oak Park Avenue Harwood Heights IL 5 (Chicago) 04/01/2022 38735-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
147601 Prime Care Resource, Inc 9406 Waukegan Rd Morton Grove IL 5 (Chicago) 11/30/2023 619B9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G1022 Discharge and transfer summaries Element