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
▼ 147937 Nurse Experts Llc 1580 N. Northwest Hwy Park Ridge IL 5 (Chicago) 07/19/2024 63733-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
G0574 Plan of care must include the following Element
G0728 Rehab services supervised by PT, OT Element
▼ 147938 Caring Community Home Health, Inc 494 W Boughton Rd, Ste 3 Bolingbrook IL 5 (Chicago) 06/04/2021 03DE11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0950 Ensure clinical manager is available Element
G0968 Assure implementation of plan of care Element
▼ 147939 I J Healthcare Nursing Resource Inc 8200 W 185th Street Suite H14 Tinley Park IL 5 (Chicago) 05/24/2024 62F88-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
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 147939 I J Healthcare Nursing Resource Inc 8200 W 185th Street Suite H14 Tinley Park IL 5 (Chicago) 05/20/2021 3EXW11 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
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
▼ 147939 I J Healthcare Nursing Resource Inc 8200 W 185th Street Suite H14 Tinley Park IL 5 (Chicago) 04/20/2018 A7YW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
▼ 147940 Essential Home Care, Inc One Trans Am Plaza, Ste 180 Oakbrook Ter IL 5 (Chicago) 05/10/2018 3E3K11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
▼ 147943 Care Solutions 612 West Jackson Street Morton IL 5 (Chicago) 12/04/2019 KTMZ12 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0978 Must have a written agreement Element
▼ 147943 Care Solutions 612 West Jackson Street Morton IL 5 (Chicago) 10/22/2019 KTMZ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0372 Encoding and transmitting OASIS Standard
G0526 Content of the comprehensive assessment Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0988 Institutional planning Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0418 Patient's or legal representative's signature Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0622 Name/contact information of clinical manager Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0962 Coordinate patient care Element
G0972 Report all branch locations to SA Element
G1022 Discharge and transfer summaries Element
▼ 147944 Evangel Home Health Services, Inc 2040 E. Algonquin Road, Suite 512 Schaumburg IL 5 (Chicago) 08/01/2024 63737-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
G1024 Authentication Standard
G0606 Integrate all services Element
G1022 Discharge and transfer summaries Element
▼ 147944 Evangel Home Health Services, Inc 2040 E. Algonquin Road, Suite 512 Schaumburg IL 5 (Chicago) 06/25/2021 EL0D11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard