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
▼ 147713 Sister's Home Health Services, Inc 815 North Church St Rockford IL 5 (Chicago) 10/25/2019 PEYO11 Recertification
Deficiency Tag Deficiency Description Tag Type
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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 147715 International Consulting Group, Inc. 1467 N Elston Ave, Ste 103 Chicago IL 5 (Chicago) 02/28/2025 652FE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 147715 International Consulting Group, Inc. 1467 N Elston Ave, Ste 103 Chicago IL 5 (Chicago) 12/16/2021 37F5C-H1 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
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0950 Ensure clinical manager is available Element
▼ 147716 Lhcg Xxxvii, Llc 906 Skyline Drive, Suite 200 Marion IL 5 (Chicago) 01/05/2022 37FAB-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
G0578 Conformance with physician orders Standard
G0728 Rehab services supervised by PT, OT Element
▼ 147716 Lhcg Xxxvii, Llc 906 Skyline Drive, Suite 200 Marion IL 5 (Chicago) 07/23/2019 11JT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0432 Make complaints to the HHA Element
▼ 147718 Maximum Home Health Care, Inc. 2959 West 95th Street, Ste B Evergreen Park IL 5 (Chicago) 12/13/2024 64C6F-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
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0948 Responsible for all day-to-day operations Element
▼ 147718 Maximum Home Health Care, Inc. 2959 West 95th Street, Ste B Evergreen Park IL 5 (Chicago) 10/15/2021 1965B-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
G0578 Conformance with physician orders Standard
G0434 Participate in care Element
G0550 At discharge Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 147726 Centerwell Certified Healthcare Corp 2211 York Road, Ste 215 Oak Brook IL 5 (Chicago) 12/29/2023 61A50-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0850 Disclosure of ownership and management info. Standard
▼ 147726 Centerwell Certified Healthcare Corp 2211 York Road, Ste 215 Oak Brook IL 5 (Chicago) 01/28/2021 CILY11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0582 Influenza and pneumococcal vaccines Element
▼ 147728 Neighborhood Health Care, Llc 257 North West Avenue, Suite 200 Elmhurst IL 5 (Chicago) 12/27/2024 64C7D-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
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element