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
▼ 147706 Caring Touch, Inc. 10700 W. Higgins Road Ste 320 Rosemont IL 5 (Chicago) 02/03/2023 5EA83-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
E0030 Names and Contact Information Standard
G0578 Conformance with physician orders Standard
G0958 Clinical manager Standard
G0956 Available during all operating hours Element
▼ 147706 Caring Touch, Inc. 10700 W. Higgins Road Ste 320 Rosemont IL 5 (Chicago) 03/06/2020 UGBR11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0710 Provide services in the plan of care Element
G0954 Ensures qualified pre-designated person Element
G1012 Required items in clinical record Element
▼ 147707 Integrity Nursing Services, Inc. 8840 South Ashland Ave Chicago IL 5 (Chicago) 08/18/2022 4F18D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G1024 Authentication Standard
G0434 Participate in care Element
G1022 Discharge and transfer summaries Element
▼ 147707 Integrity Nursing Services, Inc. 8840 South Ashland Ave Chicago IL 5 (Chicago) 10/31/2019 P5UX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
▼ 147708 Eh Home Health Of The Midwest, Llc 2970 Baker St Springfield IL 5 (Chicago) 01/12/2024 61C22-H1 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
▼ 147708 Eh Home Health Of The Midwest, Llc 2970 Baker St Springfield IL 5 (Chicago) 03/04/2021 QQNZ11 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
G0374 Accuracy of encoded OASIS data Standard
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
▼ 147708 Eh Home Health Of The Midwest, Llc 2970 Baker St Springfield IL 5 (Chicago) 03/15/2018 CMTO11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0978 Must have a written agreement Element
▼ 147710 Providence Home Health Care, Inc 425 Huehl Road Northbrook IL 5 (Chicago) 04/15/2021 HE1511 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0800 Services provided by HH aide Element
▼ 147711 Hosanna's Home Health Agency, Inc 2823 West 87th Street Evergreen Park IL 5 (Chicago) 09/26/2024 63FF7-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
G0576 All orders recorded in plan of care Element
▼ 147711 Hosanna's Home Health Agency, Inc 2823 West 87th Street Evergreen Park IL 5 (Chicago) 08/19/2021 RTOE11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0039 EP Testing Requirements Standard
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0546 Last 5 days of every 60 days unless: Element
G0582 Influenza and pneumococcal vaccines Element
G0726 Nursing services supervised by RN Element