S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 147872 Care One Home Health Services, Inc 235 Remington Blvd Suite G7 Bolingbrook IL 5 (Chicago) 10/01/2020 56BC11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0418 Patient's or legal representative's signature Element
G0606 Integrate all services Element
▼ 147873 Rainbow Health Care Services, P C 101 Royce Road, Ste 20 Bolingbrook IL 5 (Chicago) 06/01/2023 5FEE5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G1014 Interventions and patient response Element
▼ 147873 Rainbow Health Care Services, P C 101 Royce Road, Ste 20 Bolingbrook IL 5 (Chicago) 08/19/2020 HGZK11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0684 Infection control Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 147879 Attentive Services Home Health Ii, Inc 16626 West 159th St, Ste 704 Lockport IL 5 (Chicago) 06/23/2023 5FFFE-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
G0578 Conformance with physician orders Standard
G1012 Required items in clinical record Element
▼ 147879 Attentive Services Home Health Ii, Inc 16626 West 159th St, Ste 704 Lockport IL 5 (Chicago) 09/02/2020 9VUM11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 147881 Chicago Health, Inc 2604 E Dempster Street Suite 206 Park Ridge IL 5 (Chicago) 06/22/2023 5FFFD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 147883 Lfg Frontliners Holdings, Inc. 2200 South Main Street Lombard IL 5 (Chicago) 03/26/2025 657DE-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
G0528 Health, psychosocial, functional, cognition Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
▼ 147883 Lfg Frontliners Holdings, Inc. 2200 South Main Street Lombard IL 5 (Chicago) 01/28/2022 38131-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 147883 Lfg Frontliners Holdings, Inc. 2200 South Main Street Lombard IL 5 (Chicago) 02/07/2019 BXHK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0594 Plan of care revisions must be communicated Element
▼ 147885 Integral Home Health Care, Inc 1177 North Highland Avenue, 2nd Fl Ste 204 Aurora IL 5 (Chicago) 10/08/2020 5GIZ11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard