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
▼ 147886 Home Health Providers, Pc 1901 N Roselle Rd, Ste 826 Schaumburg IL 5 (Chicago) 10/19/2023 61277-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0452 Transfer and discharge Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G1022 Discharge and transfer summaries Element
▼ 147886 Home Health Providers, Pc 1901 N Roselle Rd, Ste 826 Schaumburg IL 5 (Chicago) 11/19/2020 UBI311 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
G0452 Transfer and discharge Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0414 HHA administrator contact information Element
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 147887 Advanta Home Health Care, Inc 550 W Frontage Rd Northfield IL 5 (Chicago) 11/09/2023 6172A-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
▼ 147888 Inswan Home Health Agency, Ltd 1783 S Washington Street Naperville IL 5 (Chicago) 09/21/2023 60EC6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1012 Required items in clinical record Element
▼ 147891 Human Touch Home Health, Inc 2720 South River Road, Suite 148 Des Plaines IL 5 (Chicago) 12/08/2023 61A45-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
G0572 Plan of care Standard
G0958 Clinical manager Standard
G0948 Responsible for all day-to-day operations Element
G1022 Discharge and transfer summaries Element
▼ 147891 Human Touch Home Health, Inc 2720 South River Road, Suite 148 Des Plaines IL 5 (Chicago) 01/14/2021 GOXT11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 147892 Venus Home Health, Inc 4701 N Cumberland Avenue Suite 8-9 Norridge IL 5 (Chicago) 12/06/2024 64C6A-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
G0572 Plan of care Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 147893 Supreme Home Health, Inc 2625 Butterfield Road, Suite 132n Oak Brook IL 5 (Chicago) 11/12/2020 XW6F11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
▼ 147894 Heritage Home Health Care, Inc 4450 Oakton Street Skokie IL 5 (Chicago) 04/17/2025 657DB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
▼ 147899 Med Care Health Management Corporation 7820 Graphic Drive, Ste 207 Tinley Park IL 5 (Chicago) 04/11/2024 62B7E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element