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
▼ 148044 Four Season's Home Healthcare, Inc 6050 Oakton Street Morton Grove IL 5 (Chicago) 03/18/2021 JVPE11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0574 Plan of care must include the following Element
▼ 148044 Four Season's Home Healthcare, Inc 6050 Oakton Street Morton Grove IL 5 (Chicago) 01/12/2018 OKPP11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
G0229 SUPERVISION Standard
G0236 CLINICAL RECORDS Standard
▼ 148047 Stellar Home Health Care, Inc 3530 W Peterson Ave, Ste 209 Chicago IL 5 (Chicago) 05/24/2024 62F96-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G1024 Authentication Standard
G0716 Preparing clinical notes Element
▼ 148047 Stellar Home Health Care, Inc 3530 W Peterson Ave, Ste 209 Chicago IL 5 (Chicago) 05/20/2021 YAI911 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0440 Payment from federally funded programs Element
▼ 148047 Stellar Home Health Care, Inc 3530 W Peterson Ave, Ste 209 Chicago IL 5 (Chicago) 04/13/2018 3H1Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
▼ 148048 Delta Home Health Care, Inc 380 E Northwest Hwy, Ste 380 Des Plaines IL 5 (Chicago) 11/15/2024 64826-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
G1024 Authentication Standard
G0622 Name/contact information of clinical manager Element
▼ 148048 Delta Home Health Care, Inc 380 E Northwest Hwy, Ste 380 Des Plaines IL 5 (Chicago) 09/30/2021 19657-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 148048 Delta Home Health Care, Inc 380 E Northwest Hwy, Ste 380 Des Plaines IL 5 (Chicago) 01/10/2018 KV4V11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0168 SKILLED NURSING SERVICES Condition
G0173 DUTIES OF THE REGISTERED NURSE Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
▼ 148050 Spring Meadows Home Health Care, Llc 125 Fairfield Way, Ste 105 Bloomingdale IL 5 (Chicago) 08/26/2022 4F18B-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
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 148050 Spring Meadows Home Health Care, Llc 125 Fairfield Way, Ste 105 Bloomingdale IL 5 (Chicago) 10/11/2019 NJ5W11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0588 Reviewed, revised by physician every 60 days Element
G1012 Required items in clinical record Element