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
▼ 147944 Evangel Home Health Services, Inc 2040 E. Algonquin Road, Suite 512 Schaumburg IL 5 (Chicago) 06/14/2018 G36W11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0444 State toll free HH telephone hotline Element
G0550 At discharge Element
▼ 147945 Advanced Healthcare Services, Llc 3900 Pintail Drive, Suite A Springfield IL 5 (Chicago) 10/24/2024 6446D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 147945 Advanced Healthcare Services, Llc 3900 Pintail Drive, Suite A Springfield IL 5 (Chicago) 11/18/2021 1970B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 147945 Advanced Healthcare Services, Llc 3900 Pintail Drive, Suite A Springfield IL 5 (Chicago) 12/06/2018 UHFN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0724 Supervise skilled professional assistants Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 147947 Focus Home Health Care, Inc 5946 North Milwaukee Chicago IL 5 (Chicago) 07/11/2024 6372D-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
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 147947 Focus Home Health Care, Inc 5946 North Milwaukee Chicago IL 5 (Chicago) 06/16/2021 QPEZ11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
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
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G1014 Interventions and patient response Element
▼ 147947 Focus Home Health Care, Inc 5946 North Milwaukee Chicago IL 5 (Chicago) 05/18/2018 8PEM11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1012 Required items in clinical record Element
▼ 147951 Absolute Healthcare Systems, Inc 222 S Prospect Ave Park Ridge IL 5 (Chicago) 09/06/2024 63FF3-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
G0710 Provide services in the plan of care Element
▼ 147951 Absolute Healthcare Systems, Inc 222 S Prospect Ave Park Ridge IL 5 (Chicago) 08/03/2021 FAS511 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0726 Nursing services supervised by RN Element
G1022 Discharge and transfer summaries Element
▼ 147955 St Rita Home Health Care, Inc 5105 Tollview Dr, Ste 101 Rolling Mdws IL 5 (Chicago) 09/13/2024 64219-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
G0800 Services provided by HH aide Element