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
▼ 148340 Dayspring Healthcare Services, Inc 18221 Torrence Ave, Unit 1b Lansing IL 5 (Chicago) 11/10/2021 37DD3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge 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
▼ 148344 Wellbound Illinois Llc 1420 Renaissance Drive Park Ridge IL 5 (Chicago) 11/04/2021 37D57-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 148348 Truelife Home Health Care, Inc 4747 Lincoln Mall Drive , Suite 240 Matteson IL 5 (Chicago) 06/06/2025 6655B-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
▼ 148348 Truelife Home Health Care, Inc 4747 Lincoln Mall Drive , Suite 240 Matteson IL 5 (Chicago) 03/31/2022 3879D-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
E0032 Primary/Alternate Means for Communication Standard
G0514 RN performs assessment Element
▼ 148348 Truelife Home Health Care, Inc 4747 Lincoln Mall Drive , Suite 240 Matteson IL 5 (Chicago) 05/10/2019 2DZI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0800 Services provided by HH aide Element
▼ 148350 Senior Care At Home, Inc 1820 Ridge Road Suite 303r Homewood IL 5 (Chicago) 12/05/2024 64C69-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
G0414 HHA administrator contact information Element
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
▼ 148350 Senior Care At Home, Inc 1820 Ridge Road Suite 303r Homewood IL 5 (Chicago) 10/08/2021 196BD-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
G0588 Reviewed, revised by physician every 60 days Element
G0710 Provide services in the plan of care Element
G0950 Ensure clinical manager is available Element
▼ 148352 Helping Hands Home Healthcare And Staffing Agency, Llc 320 E Jackson St, Ste 6 Morton IL 5 (Chicago) 01/10/2025 65010-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
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0726 Nursing services supervised by RN Element
▼ 148354 Salud Y Vida Health Care, Llc 3336 W Lawrence Avenue Suite 302 Chicago IL 5 (Chicago) 04/22/2022 38855-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
E0039 EP Testing Requirements Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 148363 Best Illinois Home Health Care, Inc 799 Roosevelt Road, Suite 2-111 Glen Ellyn IL 5 (Chicago) 07/05/2024 6370E-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
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element