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

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
147618 Covenant Home Services 3755 East Main Ave, Ste 165 Saint Charles IL 5 (Chicago) 11/04/2021 37D58-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0582 Influenza and pneumococcal vaccines Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
147619 Illinois Liv Llc 7017 John Deere Pkwy, Unit 2a Moline IL 5 (Chicago) 02/21/2020 2O1W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
147623 Best Care Home Health, Inc. 7100 N Ridgeway Ave Lincolnwood IL 5 (Chicago) 03/25/2026 1F1F1B-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
G1022 Discharge and transfer summaries Element
147623 Best Care Home Health, Inc. 7100 N Ridgeway Ave Lincolnwood IL 5 (Chicago) 12/23/2022 5E5A8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1012 Required items in clinical record Element
147623 Best Care Home Health, Inc. 7100 N Ridgeway Ave Lincolnwood IL 5 (Chicago) 02/14/2020 HZ4C11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0588 Reviewed, revised by physician every 60 days Element
147624 Dependable Nursing Home Health Services, Inc. 1319 Butterfield Rd, Ste 520 Downers Grove IL 5 (Chicago) 09/19/2024 63FF2-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
E0013 Development of EP Policies and Procedures Standard
G0372 Encoding and transmitting OASIS Standard
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0582 Influenza and pneumococcal vaccines Element
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element
G0810 If concern identified, direct observation Element
G1012 Required items in clinical record Element
147624 Dependable Nursing Home Health Services, Inc. 1319 Butterfield Rd, Ste 520 Downers Grove IL 5 (Chicago) 08/12/2021 4T8011 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
147626 T & N Health Services Inc 9950 Lawrence Ave, Ste 101 Schiller Park IL 5 (Chicago) 02/26/2020 I9YL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0954 Ensures qualified pre-designated person Element
147632 Darien Home Healthcare, Inc. 1510 Plainfield Road Suite 7 Darien IL 5 (Chicago) 01/31/2025 64F88-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
G0372 Encoding and transmitting OASIS Standard
147632 Darien Home Healthcare, Inc. 1510 Plainfield Road Suite 7 Darien IL 5 (Chicago) 12/03/2021 37DDB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0434 Participate in care Element