S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 147739 Medtec Home Health Agency, Inc. 10001 W Roosevelt Rd, Ste 209 Westchester IL 5 (Chicago) 05/27/2021 LMG511 Focused Infection Control, Other-Fed, 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
G0590 Promptly alert relevant physician of changes Element
G1014 Interventions and patient response Element
▼ 147739 Medtec Home Health Agency, Inc. 10001 W Roosevelt Rd, Ste 209 Westchester IL 5 (Chicago) 04/26/2018 YJB911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 147740 Nightingale Home Healthcare Of Illinois, Inc 628 Executive Drive Willowbrook IL 5 (Chicago) 03/11/2025 658B3-H1 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
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0988 Institutional planning Standard
G0434 Participate in care Element
G0464 Advise the patient of discharge for cause Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
▼ 147740 Nightingale Home Healthcare Of Illinois, Inc 628 Executive Drive Willowbrook IL 5 (Chicago) 03/05/2025 657C0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0464 Advise the patient of discharge for cause Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1012 Required items in clinical record Element
▼ 147740 Nightingale Home Healthcare Of Illinois, Inc 628 Executive Drive Willowbrook IL 5 (Chicago) 11/01/2019 HHY211 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G1012 Required items in clinical record Element
▼ 147742 Prestige Home Health Services, Inc 7119 W Higgins Ave Chicago IL 5 (Chicago) 02/07/2019 HPZ711 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
E0033 Methods for Sharing Information Standard
G0578 Conformance with physician orders Standard
G0444 State toll free HH telephone hotline Element
G0580 Only as ordered by a physician Element
▼ 147745 Sunshine Home Care, Inc 5411 W Addison Chicago IL 5 (Chicago) 01/17/2025 64F83-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
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
▼ 147749 Gold Health Home Care Corp 2720 S River Rd, Ste 130 Des Plaines IL 5 (Chicago) 09/22/2025 1D579A-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
G0572 Plan of care Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G1022 Discharge and transfer summaries Element
▼ 147749 Gold Health Home Care Corp 2720 S River Rd, Ste 130 Des Plaines IL 5 (Chicago) 06/24/2022 4EB0D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0954 Ensures qualified pre-designated person Element
▼ 147749 Gold Health Home Care Corp 2720 S River Rd, Ste 130 Des Plaines IL 5 (Chicago) 08/09/2019 PU8C11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element