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
▼ 148187 Sc Home Health Nfp 1129 S 7th Street Springfield IL 5 (Chicago) 08/29/2025 1D1E84-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
▼ 148187 Sc Home Health Nfp 1129 S 7th Street Springfield IL 5 (Chicago) 11/18/2022 4F1A8-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0948 Responsible for all day-to-day operations Element
▼ 148187 Sc Home Health Nfp 1129 S 7th Street Springfield IL 5 (Chicago) 08/11/2022 4F1A8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0476 Investigation of complaints Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0942 Governing body Standard
G0988 Institutional planning Standard
G1072 Registered Nurse Standard
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 148189 Lincoln Home Health Care, Inc 10700 W Higgins Rd, Ste 250 Rosemont IL 5 (Chicago) 03/19/2026 1F3872-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0800 Services provided by HH aide Element
G0984 In accordance with current clinical practice Element
▼ 148189 Lincoln Home Health Care, Inc 10700 W Higgins Rd, Ste 250 Rosemont IL 5 (Chicago) 01/17/2020 5XGI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 148190 Crescent Home Health Agency, Llc 7 Park Place, Suite B Swansea IL 5 (Chicago) 07/21/2022 4EED0-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
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 148190 Crescent Home Health Agency, Llc 7 Park Place, Suite B Swansea IL 5 (Chicago) 09/11/2019 UTOH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 148191 Heart At Home Health Care Of The Midwest, Llc 3436 Ridge Road, Ste 3 Lansing IL 5 (Chicago) 06/27/2019 IQ0G11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0728 Rehab services supervised by PT, OT Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
G1014 Interventions and patient response Element
▼ 148193 Alliedcare Home Health Of Illinois, Inc 380 E Northwest Highway, Ste 320f Des Plaines IL 5 (Chicago) 09/04/2025 1D5720-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
G0434 Participate in care Element
▼ 148197 Essential Preventive Health Care, Llc 101 W. 22nd St Lombard IL 5 (Chicago) 01/22/2026 1DF373-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
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element