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
147816 Optimum Healthcare Services, Inc Of Il 6600 N Lincoln Ave. Ste 415 Lincolnwood IL 5 (Chicago) 07/05/2019 UJH311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0956 Available during all operating hours Element
G1014 Interventions and patient response Element
147817 Good Heart Home Health Care, Inc. 5901 N Cicero Ave, Suite 610 Chicago IL 5 (Chicago) 12/19/2024 64C71-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
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
147818 Admire Home Healthcare Agency, Inc 4632 Church Street, Suite 101 Skokie IL 5 (Chicago) 06/21/2024 632FA-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
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0710 Provide services in the plan of care Element
G0966 Assure patient needs are continually assessed Element
G1022 Discharge and transfer summaries Element
147818 Admire Home Healthcare Agency, Inc 4632 Church Street, Suite 101 Skokie IL 5 (Chicago) 06/10/2021 DVMG11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0039 EP Testing Requirements Standard
G0684 Infection control Standard
G1012 Required items in clinical record Element
147818 Admire Home Healthcare Agency, Inc 4632 Church Street, Suite 101 Skokie IL 5 (Chicago) 05/18/2018 XP9W11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
G1012 Required items in clinical record Element
147819 Greatland Home Health Services, Inc 24w500 Maple Avenue, Suite 205 Naperville IL 5 (Chicago) 08/21/2024 63BCE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
147819 Greatland Home Health Services, Inc 24w500 Maple Avenue, Suite 205 Naperville IL 5 (Chicago) 06/17/2024 63332-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
147819 Greatland Home Health Services, Inc 24w500 Maple Avenue, Suite 205 Naperville IL 5 (Chicago) 10/06/2021 196C0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0590 Promptly alert relevant physician of changes Element
G0952 Ensure that HHA employs qualified personnel Element
147820 Home Bound Healthcare, Inc 1615 Vollmer Road Flossmoor IL 5 (Chicago) 06/20/2019 CS6T11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0606 Integrate all services Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
147822 Directmed Health Services, Llc 2600 S Michigan Avenue Suite 410 Chicago IL 5 (Chicago) 08/29/2025 1D1E8C-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
G0372 Encoding and transmitting OASIS Standard
G0582 Influenza and pneumococcal vaccines Element