S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
148304 Illinois Home Health Services, Llc 7906 South Prairie Avenue Chicago IL 5 (Chicago) 05/11/2021 M9KL11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0622 Name/contact information of clinical manager Element
148304 Illinois Home Health Services, Llc 7906 South Prairie Avenue Chicago IL 5 (Chicago) 04/05/2018 MR3C11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G1024 Authentication Standard
G0538 Primary caregiver(s), if any Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
148310 Corlan Home Health, Inc 415 W Golf Road, Ste 46 Arlington Heights IL 5 (Chicago) 03/21/2024 626CD-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
G0622 Name/contact information of clinical manager Element
G1022 Discharge and transfer summaries Element
148310 Corlan Home Health, Inc 415 W Golf Road, Ste 46 Arlington Heights IL 5 (Chicago) 04/16/2021 BIM511 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
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
148310 Corlan Home Health, Inc 415 W Golf Road, Ste 46 Arlington Heights IL 5 (Chicago) 03/09/2018 7OG511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0576 All orders recorded in plan of care Element
G0726 Nursing services supervised by RN Element
G0954 Ensures qualified pre-designated person Element
148311 Vanguard Health & Wellness, Llc 1585 Ellinwood Avenue, Suite 100 Des Plaines IL 5 (Chicago) 04/12/2024 62B7F-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
148311 Vanguard Health & Wellness, Llc 1585 Ellinwood Avenue, Suite 100 Des Plaines IL 5 (Chicago) 04/29/2021 1D7J11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0616 Patient medication schedule/instructions Element
G1014 Interventions and patient response Element
148311 Vanguard Health & Wellness, Llc 1585 Ellinwood Avenue, Suite 100 Des Plaines IL 5 (Chicago) 03/29/2018 K6OH11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
148315 Aledli Home Healthcare, Inc 219 W 55th Street, Suite 205 Clarendon Hills IL 5 (Chicago) 02/08/2024 622A6-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
E0013 Development of EP Policies and Procedures Standard
E0030 Names and Contact Information Standard
G0434 Participate in care Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
148315 Aledli Home Healthcare, Inc 219 W 55th Street, Suite 205 Clarendon Hills IL 5 (Chicago) 03/11/2021 1GB411 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element