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
▼ 157054 B & B Interim Healthcare Services Inc 1575 E 85th Ave Merrillville IN 5 (Chicago) 07/07/2021 K25411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0958 Clinical manager Standard
G1024 Authentication Standard
G0480 Treatment or care Element
G0484 Document complaint and resolution Element
G0804 Aides are members of interdisciplinary team Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
▼ 157054 B & B Interim Healthcare Services Inc 1575 E 85th Ave Merrillville IN 5 (Chicago) 06/19/2020 QHFP11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
▼ 157054 B & B Interim Healthcare Services Inc 1575 E 85th Ave Merrillville IN 5 (Chicago) 08/22/2019 R75Z11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0648 High risk, high volume, or problem-prone area Element
G0804 Aides are members of interdisciplinary team Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element
▼ 157055 St Elizabeth Home Care Services, Llc 500 West Eads Parkway Lawrenceburg IN 5 (Chicago) 02/12/2021 3SN111 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0848 Compliance with Federal, State, Local Law Condition
G0940 Organization and administration of services Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0850 Disclosure of ownership and management info. Standard
G0860 Licensing Standard
G0942 Governing body Standard
G0856 Officer, a director, agent, managing employee Element
G0858 Responsible for the management of the HHA Element
G0946 Administrator appointed by governing body Element
▼ 157059 St Vincent Home Health - Anderson, Llc 600 Corporation Drive Ste 104 Pendleton IN 5 (Chicago) 04/30/2024 629FA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0570 Care planning, coordination, quality of care Condition
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0644 Program data Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0478 Investigate complaints made by patient Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0598 Discharge plans communication Element
G0808 Onsite supervisory visit every 14 days Element
G0978 Must have a written agreement Element
G1022 Discharge and transfer summaries Element
▼ 157059 St Vincent Home Health - Anderson, Llc 600 Corporation Drive Ste 104 Pendleton IN 5 (Chicago) 06/18/2021 HJUK11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0798 Home health aide assignments and duties Standard
G0430 Be free from abuse Element
G0478 Investigate complaints made by patient Element
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0536 A review of all current medications Element
G0538 Primary caregiver(s), if any Element
G0602 Communication with all physicians Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0946 Administrator appointed by governing body Element
G0978 Must have a written agreement Element
G0980 Primary HHA is responsible for patient care Element
▼ 157059 St Vincent Home Health - Anderson, Llc 600 Corporation Drive Ste 104 Pendleton IN 5 (Chicago) 09/21/2018 UPXG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0350 Release of patient identifiable OASIS info. Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0042 Integrated EP Program Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G1028 Protection of records Standard
G0438 Have a confidential clinical record Element
G0442 Written notice for non-covered care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0606 Integrate all services Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0730 Medical social services supervised by MSW Element
G0800 Services provided by HH aide Element
G0856 Officer, a director, agent, managing employee Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
G0974 Direct support and administrative control Element
G0978 Must have a written agreement Element
G0984 In accordance with current clinical practice Element
▼ 157067 The Center For Hospice And Palliative Care Inc 501 Comfort Place Mishawaka IN 5 (Chicago) 06/09/2025 6648B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
▼ 157067 The Center For Hospice And Palliative Care Inc 501 Comfort Place Mishawaka IN 5 (Chicago) 01/07/2022 19763-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0564 Discharge or Transfer Summary Content Standard
G0606 Integrate all services Element
G1022 Discharge and transfer summaries Element
▼ 157067 The Center For Hospice And Palliative Care Inc 501 Comfort Place Mishawaka IN 5 (Chicago) 10/27/2021 19763-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0560 Discharge Planning Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0042 Integrated EP Program Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element