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
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 03/10/2026 1F266B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0436 Receive all services in plan of care Element
G0460 Patient refuses services Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 02/18/2026 1E222E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G1024 Authentication Standard
G0606 Integrate all services Element
G0764 HH aide training program topics Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 01/28/2026 1DEB49-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 12/15/2025 1DEB49-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0704 Responsibilities of skilled professionals Standard
G0584 Verbal orders Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0804 Aides are members of interdisciplinary team Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 12/12/2025 1D80BE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 09/16/2025 1D6429-H1 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
G0510 Comprehensive Assessment of Patients Condition
G0560 Discharge Planning Condition
G0570 Care planning, coordination, quality of care Condition
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0596 Revisions communicated to patient and MDs Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0810 If concern identified, direct observation Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element
G0978 Must have a written agreement Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 08/29/2024 64191-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition 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
G0606 Integrate all services Element
G0800 Services provided by HH aide Element
G0810 If concern identified, direct observation Element
G0818 HH aide supervision elements Element
▼ 157694 Lasik Home Health Care Inc 9723 S Prairie Avenue Highland IN 5 (Chicago) 04/05/2024 629CA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0372 Encoding and transmitting OASIS Standard
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0550 At discharge 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
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G0954 Ensures qualified pre-designated person Element
G1012 Required items in clinical record Element
▼ 157695 First Horizon Home Health Care Llc 745 Beachway Drive Indianapolis IN 5 (Chicago) 09/22/2025 1D7332-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0762 Minimum hours of training Element
▼ 157695 First Horizon Home Health Care Llc 745 Beachway Drive Indianapolis IN 5 (Chicago) 09/22/2025 1D7335-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0762 Minimum hours of training Element