S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 147808 Usa We Care Home Healthcare, Inc 5309 Lincoln Avenue Skokie IL 5 (Chicago) 04/26/2019 NQJ611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0036 EP Training and Testing Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 147811 Hrs Home Health 1806 S Highland Ave, Ste 225 Lombard IL 5 (Chicago) 11/08/2023 61737-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 147811 Hrs Home Health 1806 S Highland Ave, Ste 225 Lombard IL 5 (Chicago) 07/21/2021 JS8I11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 147811 Hrs Home Health 1806 S Highland Ave, Ste 225 Lombard IL 5 (Chicago) 04/01/2021 OPIN11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0582 Influenza and pneumococcal vaccines Element
G1022 Discharge and transfer summaries Element
▼ 147811 Hrs Home Health 1806 S Highland Ave, Ste 225 Lombard IL 5 (Chicago) 11/14/2018 SBOJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 147813 Bowes In-Home Care, Inc 813 Tek Dr Crystal Lake IL 5 (Chicago) 02/19/2020 ROVU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 147813 Bowes In-Home Care, Inc 813 Tek Dr Crystal Lake IL 5 (Chicago) 06/13/2019 RMLX11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G1014 Interventions and patient response Element
▼ 147815 Advanced Home Health Services, Inc 3100 Dundee Road, Ste 408 Northbrook IL 5 (Chicago) 05/23/2024 62F93-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0622 Name/contact information of clinical manager Element
▼ 147816 Optimum Healthcare Services, Inc Of Il 6600 N Lincoln Ave. Ste 415 Lincolnwood IL 5 (Chicago) 08/01/2025 1D1E51-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
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
▼ 147816 Optimum Healthcare Services, Inc Of Il 6600 N Lincoln Ave. Ste 415 Lincolnwood IL 5 (Chicago) 05/06/2022 38992-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard