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
▼ 148092 Essential Home Healthcare, Inc 3501 W Algonquin Road, Ste 330 Rolling Meadows IL 5 (Chicago) 08/05/2021 HM2G11 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
E0030 Names and Contact Information Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0808 Onsite supervisory visit every 14 days Element
▼ 148094 Alpha Home Health, Inc 6225 North Milwaukee Ave Chicago IL 5 (Chicago) 10/11/2024 64494-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
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
G1022 Discharge and transfer summaries Element
▼ 148095 Elite Care At Home, Inc 568 S Washington Street Naperville IL 5 (Chicago) 09/10/2021 1967A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0950 Ensure clinical manager is available Element
▼ 148096 Elite Healthcare Providers, Llc 9933 Lawler Ave Skokie IL 5 (Chicago) 10/28/2021 196C7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0582 Influenza and pneumococcal vaccines Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 148098 A-Cure Healthcare Solutions, Inc 1100 Jorie Blvd Ste #118 Oak Brook IL 5 (Chicago) 04/25/2024 62CB1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0622 Name/contact information of clinical manager Element
▼ 148098 A-Cure Healthcare Solutions, Inc 1100 Jorie Blvd Ste #118 Oak Brook IL 5 (Chicago) 04/30/2021 T64P11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 148098 A-Cure Healthcare Solutions, Inc 1100 Jorie Blvd Ste #118 Oak Brook IL 5 (Chicago) 03/29/2018 11W811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0572 Plan of care Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician 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
▼ 148101 Care-Med Home Health Services, Inc 8401 North Crawford Suite 105 Skokie IL 5 (Chicago) 11/12/2021 37E76-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 148101 Care-Med Home Health Services, Inc 8401 North Crawford Suite 105 Skokie IL 5 (Chicago) 12/21/2018 X59T11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 148104 Affinity Home Health Services, Inc 7125 W Gunnison Suite-206 Harwood Heights IL 5 (Chicago) 08/29/2024 63BB4-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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element