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
▼ 147925 Omnicare Home Health, Inc 13242 S Rt 59 Suite 202 Plainfield IL 5 (Chicago) 05/13/2021 HSLJ11 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
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 147925 Omnicare Home Health, Inc 13242 S Rt 59 Suite 202 Plainfield IL 5 (Chicago) 04/06/2018 CC2911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
▼ 147926 Accucare Home Health Services, Inc 333 N Randall Rd, Ste 164 Saint Charles IL 5 (Chicago) 04/19/2024 62D10-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
G1024 Authentication Standard
G0422 Written notice within 4 business days Element
G0580 Only as ordered by a physician Element
G0948 Responsible for all day-to-day operations Element
▼ 147926 Accucare Home Health Services, Inc 333 N Randall Rd, Ste 164 Saint Charles IL 5 (Chicago) 04/30/2021 0PB011 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1012 Required items in clinical record Element
▼ 147926 Accucare Home Health Services, Inc 333 N Randall Rd, Ste 164 Saint Charles IL 5 (Chicago) 03/30/2018 XGKW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1012 Required items in clinical record Element
▼ 147927 Avant Care Home Health Care, Inc 2720 S River Road, Ste 101 Des Plaines IL 5 (Chicago) 06/13/2025 66489-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
G1024 Authentication Standard
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
▼ 147927 Avant Care Home Health Care, Inc 2720 S River Road, Ste 101 Des Plaines IL 5 (Chicago) 03/11/2022 38677-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 147927 Avant Care Home Health Care, Inc 2720 S River Road, Ste 101 Des Plaines IL 5 (Chicago) 04/04/2019 993511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0726 Nursing services supervised by RN Element
▼ 147928 Atrium Healthcare Services, Llc 3112 West 95th Street Evergreen Park IL 5 (Chicago) 04/25/2024 62CB0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 147928 Atrium Healthcare Services, Llc 3112 West 95th Street Evergreen Park IL 5 (Chicago) 04/30/2021 675X11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element