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
▼ 147920 Nexus Home Health, Inc 1132 S Wabash Ave, Ste 206 Chicago IL 5 (Chicago) 09/24/2020 IVU311 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
▼ 147921 Apex Home Health Care, Inc 540 Oakmont Lane Westmont IL 5 (Chicago) 09/18/2025 1D5788-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
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
▼ 147921 Apex Home Health Care, Inc 540 Oakmont Lane Westmont IL 5 (Chicago) 05/28/2024 632E0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 147921 Apex Home Health Care, Inc 540 Oakmont Lane Westmont IL 5 (Chicago) 08/05/2022 4F189-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
▼ 147921 Apex Home Health Care, Inc 540 Oakmont Lane Westmont IL 5 (Chicago) 10/09/2019 WLCD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
▼ 147922 Prudential Home Health Corporation 4440 W Lincoln Highway Suite 205 Matteson IL 5 (Chicago) 01/28/2026 1D82E4-H1 Complaint, 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
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
▼ 147922 Prudential Home Health Corporation 4440 W Lincoln Highway Suite 205 Matteson IL 5 (Chicago) 10/27/2022 5E16C-H1 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0452 Transfer and discharge Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0582 Influenza and pneumococcal vaccines Element
G0710 Provide services in the plan of care Element
G0728 Rehab services supervised by PT, OT Element
▼ 147922 Prudential Home Health Corporation 4440 W Lincoln Highway Suite 205 Matteson IL 5 (Chicago) 01/03/2020 VPLY11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 147923 Aspen Home Health Medical & Rehabilitation Services, Inc. 5244 West Irving Park Road, #1 West Chicago IL 5 (Chicago) 01/05/2024 61DFD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 147923 Aspen Home Health Medical & Rehabilitation Services, Inc. 5244 West Irving Park Road, #1 West Chicago IL 5 (Chicago) 02/25/2021 L6GZ11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element