S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 147899 Med Care Health Management Corporation 7820 Graphic Drive, Ste 207 Tinley Park IL 5 (Chicago) 05/04/2018 BLL611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 147905 Proficient Home Health Care, Inc 7733 Keeler Ave Skokie IL 5 (Chicago) 11/22/2023 6172F-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
▼ 147905 Proficient Home Health Care, Inc 7733 Keeler Ave Skokie IL 5 (Chicago) 12/24/2020 IKFG11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 147907 Glory Home Health Care Management, Inc 2700 S River Rd, Ste 108 Des Plaines IL 5 (Chicago) 04/18/2024 62B81-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
E0037 EP Training Program Standard
G0434 Participate in care Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 147907 Glory Home Health Care Management, Inc 2700 S River Rd, Ste 108 Des Plaines IL 5 (Chicago) 01/05/2024 61E44-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
▼ 147907 Glory Home Health Care Management, Inc 2700 S River Rd, Ste 108 Des Plaines IL 5 (Chicago) 02/08/2018 OQOG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0798 Home health aide assignments and duties Standard
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 147916 Benchmark Home Health Care 5936 N Milwaukee Avenue Chicago IL 5 (Chicago) 07/18/2025 66881-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
G0572 Plan of care Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
▼ 147916 Benchmark Home Health Care 5936 N Milwaukee Avenue Chicago IL 5 (Chicago) 05/16/2019 QLHH11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
G0800 Services provided by HH aide Element
▼ 147918 Advantage Home Health Plus, Inc 30 East Scranton Avenue Lake Bluff IL 5 (Chicago) 01/28/2026 1DF37F-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
G0582 Influenza and pneumococcal vaccines Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 147920 Nexus Home Health, Inc 1132 S Wabash Ave, Ste 206 Chicago IL 5 (Chicago) 07/27/2023 60459-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
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0582 Influenza and pneumococcal vaccines Element