S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
147928 Atrium Healthcare Services, Llc 3112 West 95th Street Evergreen Park IL 5 (Chicago) 04/12/2018 YYJT11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
147929 Harmony Home Health Agency, Inc 245 W Roosevelt Road, Bldg 15 Suite 130/131 West Chicago IL 5 (Chicago) 05/17/2024 62F85-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
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element
G0580 Only as ordered by a physician Element
147929 Harmony Home Health Agency, Inc 245 W Roosevelt Road, Bldg 15 Suite 130/131 West Chicago IL 5 (Chicago) 05/14/2021 DG1D11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
147930 Home Healthcare Solutions Compmay Llc 5533 West 109th, Suite 106 Oak Lawn IL 5 (Chicago) 01/26/2024 61F15-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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
147931 Healthquest Homecare, Llc 1480 Renaissance Drive, Ste 103 Park Ridge IL 5 (Chicago) 02/16/2018 RYKS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
147932 His Grace Home Healthcare, Inc 8205 S Cass Avenue, Suite 108c Darien IL 5 (Chicago) 06/27/2024 632FB-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
G0434 Participate in care Element
G0576 All orders recorded in plan of care Element
147932 His Grace Home Healthcare, Inc 8205 S Cass Avenue, Suite 108c Darien IL 5 (Chicago) 06/10/2021 8ZL611 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0680 Infection prevention and control Condition
G1008 Clinical records Condition
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G0434 Participate in care Element
G0438 Have a confidential clinical record Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0590 Promptly alert relevant physician of changes Element
G0804 Aides are members of interdisciplinary team Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
147932 His Grace Home Healthcare, Inc 8205 S Cass Avenue, Suite 108c Darien IL 5 (Chicago) 05/10/2018 KA9111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0580 Only as ordered by a physician Element
147933 Care For Life Home Health, Inc. 1001 S Randall Rd, Fl 2 Elgin IL 5 (Chicago) 01/19/2024 61E96-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
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G1022 Discharge and transfer summaries Element
147933 Care For Life Home Health, Inc. 1001 S Randall Rd, Fl 2 Elgin IL 5 (Chicago) 02/11/2021 AD7Q11 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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element