S&C QCOR HHA 2567s
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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
▼ 147658 Reign Management Group, Inc. 6124 W 63rd Street Suite A Chicago IL 5 (Chicago) 02/11/2021 VIVL11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 147660 Professional Home Care Advantage Inc 5875 N Lincoln Ave, Ste 232 Chicago IL 5 (Chicago) 02/16/2024 623B1-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
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0948 Responsible for all day-to-day operations Element
G0954 Ensures qualified pre-designated person Element
G1022 Discharge and transfer summaries Element
▼ 147660 Professional Home Care Advantage Inc 5875 N Lincoln Ave, Ste 232 Chicago IL 5 (Chicago) 03/18/2021 EW0R11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0616 Patient medication schedule/instructions Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 147660 Professional Home Care Advantage Inc 5875 N Lincoln Ave, Ste 232 Chicago IL 5 (Chicago) 03/22/2018 CL3Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G1010 Contents of clinical record Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 147674 N.O.S. Healthcare Inc. 4n150 Wood Dale Road Addison IL 5 (Chicago) 05/16/2025 660CA-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
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
▼ 147674 N.O.S. Healthcare Inc. 4n150 Wood Dale Road Addison IL 5 (Chicago) 02/25/2022 3833F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
E0039 EP Testing Requirements Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G1022 Discharge and transfer summaries Element
▼ 147674 N.O.S. Healthcare Inc. 4n150 Wood Dale Road Addison IL 5 (Chicago) 03/22/2019 7P2I11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 147683 Lhcg Xxxvii, Llc 19720 Governors Highway Suite 1 Flossmoor IL 5 (Chicago) 04/17/2026 22C3C8-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0950 Ensure clinical manager is available Element
▼ 147683 Lhcg Xxxvii, Llc 19720 Governors Highway Suite 1 Flossmoor IL 5 (Chicago) 01/05/2023 5EA7B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
▼ 147683 Lhcg Xxxvii, Llc 19720 Governors Highway Suite 1 Flossmoor IL 5 (Chicago) 02/28/2020 W4D711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element