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
▼ 147751 Excellent Home Health Care, Inc 3901 West Oakton Skokie IL 5 (Chicago) 01/26/2024 61F14-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
G0578 Conformance with physician orders Standard
G1028 Protection of records Standard
G0438 Have a confidential clinical record Element
G0808 Onsite supervisory visit every 14 days Element
▼ 147752 Compassionate Professional Home Care, Inc 2521 Ridge Road Lansing IL 5 (Chicago) 02/15/2019 POFD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 147756 Elite Home Health Care, Inc 3100 Dundee Road, Suite 304 Northbrook IL 5 (Chicago) 04/25/2025 65C08-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
G1022 Discharge and transfer summaries Element
▼ 147757 American Home Care, Llc 15 Commerce Drive Suite 117 Grayslake IL 5 (Chicago) 03/10/2022 38625-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0484 Document complaint and resolution Element
G0582 Influenza and pneumococcal vaccines Element
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
▼ 147757 American Home Care, Llc 15 Commerce Drive Suite 117 Grayslake IL 5 (Chicago) 04/18/2019 OUYN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0572 Plan of care Standard
▼ 147758 All American Home Care, Inc 9944 South Roberts Road Palos Hills IL 5 (Chicago) 03/11/2022 38676-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 147760 Care Choice Home Health, Inc 8707 Skokie Blvd, Ste 306 Skokie IL 5 (Chicago) 07/31/2025 6688A-H1 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
G0582 Influenza and pneumococcal vaccines Element
▼ 147762 Comprehensive Quality Care, Inc Foundation 3517 South Martin Luther King Drive Chicago IL 5 (Chicago) 10/04/2024 644A2-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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0414 HHA administrator contact information Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0514 RN performs assessment Element
G0550 At discharge Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 147762 Comprehensive Quality Care, Inc Foundation 3517 South Martin Luther King Drive Chicago IL 5 (Chicago) 08/27/2021 MM5H11 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
E0001 Establishment of the Emergency Program (EP) Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0536 A review of all current medications Element
G0550 At discharge Element
G0710 Provide services in the plan of care Element
▼ 147766 5 Star Healthcare, Inc 2093 Rand Rd, Suite Ll Des Plaines IL 5 (Chicago) 06/30/2021 113C6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0408 Notice of rights Standard
G0436 Receive all services in plan of care Element