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
▼ 147976 Integrated Home Healthcare Services, Corp 151 W. Golf Road Libertyville IL 5 (Chicago) 04/11/2025 65BF7-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
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 147976 Integrated Home Healthcare Services, Corp 151 W. Golf Road Libertyville IL 5 (Chicago) 03/01/2019 9PXO11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 147977 Excel Care Health Services, Inc 7301 N Lincoln Avenue Suite 185 Lincolnwood IL 5 (Chicago) 02/28/2025 652FD-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
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
▼ 147977 Excel Care Health Services, Inc 7301 N Lincoln Avenue Suite 185 Lincolnwood IL 5 (Chicago) 12/10/2021 37DDA-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
▼ 147981 A & S Home Healthcare, Inc 6900 Main Street Downers Grove IL 5 (Chicago) 02/14/2019 C1C111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 147983 Corebell Health Care Inc 7161 N Cicero Ave, Ste 212 Lincolnwood IL 5 (Chicago) 02/18/2022 3833C-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
E0039 EP Testing Requirements Standard
G0710 Provide services in the plan of care Element
▼ 147983 Corebell Health Care Inc 7161 N Cicero Ave, Ste 212 Lincolnwood IL 5 (Chicago) 03/07/2019 L9D011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0418 Patient's or legal representative's signature Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
▼ 147985 Acacia Home Health Agency 2200 S. Main Street Suite 308 Lombard IL 5 (Chicago) 04/11/2025 65BF5-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
G0514 RN performs assessment Element
G0606 Integrate all services Element
▼ 147985 Acacia Home Health Agency 2200 S. Main Street Suite 308 Lombard IL 5 (Chicago) 02/07/2022 38144-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element
G0710 Provide services in the plan of care Element
▼ 147985 Acacia Home Health Agency 2200 S. Main Street Suite 308 Lombard IL 5 (Chicago) 02/22/2019 3V1K11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element