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
147822 Directmed Health Services, Llc 2600 S Michigan Avenue Suite 410 Chicago IL 5 (Chicago) 05/13/2022 38994-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G1022 Discharge and transfer summaries Element
147822 Directmed Health Services, Llc 2600 S Michigan Avenue Suite 410 Chicago IL 5 (Chicago) 07/19/2019 0CBK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
147824 Northwest Home Health & Rehab 9249 South Route 31 Lake In The Hills IL 5 (Chicago) 03/05/2026 1E29A1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0606 Integrate all services Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
147824 Northwest Home Health & Rehab 9249 South Route 31 Lake In The Hills IL 5 (Chicago) 12/15/2022 5E848-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0514 RN performs assessment Element
G0582 Influenza and pneumococcal vaccines Element
G0808 Onsite supervisory visit every 14 days Element
147824 Northwest Home Health & Rehab 9249 South Route 31 Lake In The Hills IL 5 (Chicago) 11/14/2019 O32V11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
147825 Liberty Home Health Care, Inc 4411 W Lawrence Avenue Chicago IL 5 (Chicago) 08/29/2025 1D1E85-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
E0030 Names and Contact Information Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
147825 Liberty Home Health Care, Inc 4411 W Lawrence Avenue Chicago IL 5 (Chicago) 08/08/2019 UMA911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0582 Influenza and pneumococcal vaccines Element
G1014 Interventions and patient response Element
147829 Horizon Home Health Care, Inc 540 W. 35th Street, Ste 102 Chicago IL 5 (Chicago) 10/07/2022 4F7CB-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
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element
147829 Horizon Home Health Care, Inc 540 W. 35th Street, Ste 102 Chicago IL 5 (Chicago) 11/07/2019 ZEFG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element
147830 Marian Healthcare Services, Llc 2700 River Road , Suite 106 Des Plaines IL 5 (Chicago) 10/13/2022 4F7CD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0582 Influenza and pneumococcal vaccines Element
G1022 Discharge and transfer summaries Element