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
148364 Ecs Health Care Agency And Home Health Services 75 Executive Drive Suite 401d Aurora IL 5 (Chicago) 08/25/2023 60AD7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1012 Required items in clinical record Element
148364 Ecs Health Care Agency And Home Health Services 75 Executive Drive Suite 401d Aurora IL 5 (Chicago) 10/16/2020 DKMH11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0954 Ensures qualified pre-designated person Element
148371 2 Sisters Home Healthcare Inc 2606 Broadway Rockford IL 5 (Chicago) 05/16/2024 62F84-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
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0590 Promptly alert relevant physician of changes Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
148372 We Care For You Llc 7307 N Alpine Road Suite A2 Loves Park IL 5 (Chicago) 09/18/2019 HCES11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0376 Transmittal of OASIS data Standard
148388 Aviense Home Healthcare Inc 600 S Weber Rd Ste 8 Romeoville IL 5 (Chicago) 07/03/2024 6370B-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
G0372 Encoding and transmitting OASIS Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
148388 Aviense Home Healthcare Inc 600 S Weber Rd Ste 8 Romeoville IL 5 (Chicago) 04/04/2023 5F707-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
148389 American Home Health 1660 North Farnsworth Ave, Ste 3 Aurora IL 5 (Chicago) 05/03/2024 62CB2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge Element
G1022 Discharge and transfer summaries Element
157000 Visiting Nurse And Hospice Home Inc 5910 Homestead Rd Fort Wayne IN 5 (Chicago) 06/23/2020 E7LO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0948 Responsible for all day-to-day operations Element
G0972 Report all branch locations to SA Element
157005 Trinity Home Health Services Inc 707 Cedar Street Suite 320 South Bend IN 5 (Chicago) 07/12/2024 63958-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0534 Patient's needs Element
G0710 Provide services in the plan of care Element
157005 Trinity Home Health Services Inc 707 Cedar Street Suite 320 South Bend IN 5 (Chicago) 09/12/2023 60028-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G1030 Retrieval of records Standard