S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 157537 Christian Home Health Services Incorporated 4200 W Lincoln Hwy Merrillville IN 5 (Chicago) 10/08/2024 644B0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0418 Patient's or legal representative's signature Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 157537 Christian Home Health Services Incorporated 4200 W Lincoln Hwy Merrillville IN 5 (Chicago) 11/16/2021 37E5D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
▼ 157537 Christian Home Health Services Incorporated 4200 W Lincoln Hwy Merrillville IN 5 (Chicago) 02/04/2019 HESY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 01/04/2024 60195-H6 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0642 Program scope Standard
G0608 Coordinate care delivery Element
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 12/12/2023 60195-H5 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0510 Comprehensive Assessment of Patients Condition
G0768 Competency evaluation Standard
G0412 Written notice of patient's rights Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0550 At discharge Element
G0788 Org. had partial/extended survey Element
G0960 Make patient and personnel assignments, Element
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 08/30/2023 60195-H4 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0562 Discharge Planning Standard
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 07/03/2023 60195-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
E0001 Establishment of the Emergency Program (EP) Condition
G0560 Discharge Planning Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following 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
G0592 Revised plan of care Element
G0606 Integrate all services 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
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
G0822 Ensuring the overall quality of care provided Element
G0948 Responsible for all day-to-day operations Element
G0964 Coordinate referrals; Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 10/25/2022 4F42E-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0564 Discharge or Transfer Summary Content Standard
G0574 Plan of care must include the following Element
G0714 Patient and caregiver education Element
G0808 Onsite supervisory visit every 14 days Element
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 08/24/2022 4F42E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
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
G0592 Revised plan of care Element
G0606 Integrate all services Element
G0716 Preparing clinical notes Element
G0814 Non-skilled direct observation every 60 days Element
▼ 157538 Broadway Physical Therapy Inc 8300 Broadway Street Ste B1 Merrillville IN 5 (Chicago) 10/14/2020 QL8C11 Complaint, Focused Infection Control, Other-Fed, Recertification
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
E0036 EP Training and Testing Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0724 Supervise skilled professional assistants Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0480 Treatment or care Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0596 Revisions communicated to patient and MDs Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0620 Other pertinent instructions Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0728 Rehab services supervised by PT, OT Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element