S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
147769 Advance Home Health Care, Ltd 5948 N Milwaukee Ave Chicago IL 5 (Chicago) 08/25/2022 4F18C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
147769 Advance Home Health Care, Ltd 5948 N Milwaukee Ave Chicago IL 5 (Chicago) 03/25/2022 38695-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
147769 Advance Home Health Care, Ltd 5948 N Milwaukee Ave Chicago IL 5 (Chicago) 10/18/2019 5ADI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
147772 Advanced Homecare, Inc 8320 South Lemont Road Darien IL 5 (Chicago) 11/19/2020 8XQ811 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
147773 Life Plus Hoealth Care, Inc 2714 West Peterson Street, 1st Floor Chicago IL 5 (Chicago) 09/27/2022 4F188-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G1014 Interventions and patient response Element
147773 Life Plus Hoealth Care, Inc 2714 West Peterson Street, 1st Floor Chicago IL 5 (Chicago) 08/02/2022 4F188-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0958 Clinical manager Standard
147773 Life Plus Hoealth Care, Inc 2714 West Peterson Street, 1st Floor Chicago IL 5 (Chicago) 10/03/2019 G93V11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
147774 Community Homecare, Inc 107 East Jefferson Sullivan IL 5 (Chicago) 05/02/2018 7P2P11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
147777 Prodigy Home Care, Inc 1010 Jorie Boulevard, Suite 34 Oak Brook IL 5 (Chicago) 08/15/2025 1D1E71-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
G0808 Onsite supervisory visit every 14 days Element
147777 Prodigy Home Care, Inc 1010 Jorie Boulevard, Suite 34 Oak Brook IL 5 (Chicago) 05/05/2022 38991-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0798 Home health aide assignments and duties Standard