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
▼ 148218 Active Home Health Care Serv 5009 West 95th Street, Suite B Oak Lawn IL 5 (Chicago) 06/22/2021 GYHL11 Complaint
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
G0598 Discharge plans communication Element
G0606 Integrate all services Element
▼ 148219 Complete Home Health Services, Inc 16236 Prince Drive South Holland IL 5 (Chicago) 01/22/2026 1DF37A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 148219 Complete Home Health Services, Inc 16236 Prince Drive South Holland IL 5 (Chicago) 10/20/2022 4F7CE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0728 Rehab services supervised by PT, OT Element
▼ 148221 Apex Home Health Services, Inc 9933 Lawler Avenue, Suite 512 Skokie IL 5 (Chicago) 11/15/2019 MS1411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 148227 Better Care Home Health, Inc. 1821 Walden Office Square, Ste 225 Schaumburg IL 5 (Chicago) 03/06/2018 XP7O11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 148228 Physicians Preferred Home Health Care, Inc 7670 Plaza Court Willowbrook IL 5 (Chicago) 12/11/2025 1D82A6-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
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G1022 Discharge and transfer summaries Element
▼ 148228 Physicians Preferred Home Health Care, Inc 7670 Plaza Court Willowbrook IL 5 (Chicago) 10/06/2022 4F7C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G1024 Authentication Standard
G0584 Verbal orders Element
▼ 148228 Physicians Preferred Home Health Care, Inc 7670 Plaza Court Willowbrook IL 5 (Chicago) 11/27/2019 DNEX11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element
▼ 148232 All Solutions Healthcare, Inc 6005 Tomlinson Dr. Mchenry IL 5 (Chicago) 09/28/2023 60EC7-H1 Complaint, 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
G0622 Name/contact information of clinical manager Element
▼ 148234 Quality Home Health Care, Llc 1420 Renaissance Dr, Ste 309 Park Ridge IL 5 (Chicago) 04/07/2023 5F73B-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
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element