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Acacia Home Health Agency

(630) 613-87472200 S. Main Street Suite 308, Lombard, IL 60148
CMS Certification Number 147985 · Proprietary · Medicare-certified since 11/01/2007
12deficiencies since 2018
0serious
3inspections
4.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2025-04-11

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Encoding And Transmitting Oasis

In 915 of 1,116 assessments submitted for the last 12 months, the Agency failed to submit all reports within 30 days, resulting in a warning.

Source: CMS Form 2567, inspection 2025-04-11, tag G0372 · view on CMS
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Moderate Plan Of Care

For 4 of 7 (Pts. #5, #7, #1 and #4) clinical records reviewed, the Agency failed to ensure care was provided as ordered by the Physician as indicated in the POC.

Source: CMS Form 2567, inspection 2025-04-11, tag G0572 · view on CMS
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Minor Rn Performs Assessment

For 2 of 7 (Pts. #5 and #7) clinical records reviewed, the Agency failed to ensure that the RN conducted the initial comprehensive assessment within 48 hours of the referral.

Source: CMS Form 2567, inspection 2025-04-11, tag G0514 · view on CMS
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Minor Integrate All Services

For 1 of 1 (Pt. #5) Pts. wherein MSW services were provided, the Agency failed to ensure that concerns are communicated/coordinated within the healthcare team to ensure Pt. needs were identified and addressed.

Source: CMS Form 2567, inspection 2025-04-11, tag G0606 · view on CMS
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Inspection 2022-02-07

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Authentication

The Agency failed to ensure medical record documents were complete.

Source: CMS Form 2567, inspection 2022-02-07, tag G1024 · view on CMS
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Minor Participate In Care

The Agency failed to ensure informed consents contained the disciplines that will provide care and the frequency of visits.

Source: CMS Form 2567, inspection 2022-02-07, tag G0434 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

The Agency failed to ensure it implemented its policy regarding Pt. screening and administration of influenza and pneumococcal pneumonia vaccines.

Source: CMS Form 2567, inspection 2022-02-07, tag G0582 · view on CMS
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Minor Provide Services In The Plan Of Care

The Agency failed to provide PT, OT, and ST services as ordered by the Physician.

Source: CMS Form 2567, inspection 2022-02-07, tag G0710 · view on CMS
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Inspection 2019-02-22

· Recertification · 4 deficiencies · CMS source report (PDF)
Minor Plan Of Care Must Include The Following

The Agency failed to ensure that the PsOC contained patient specific interventions and treatments This was found in 2 of 7 (Pts. #3 and 5) records reviewed.

Source: CMS Form 2567, inspection 2019-02-22, tag G0574 · view on CMS
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Minor Provide Services In The Plan Of Care

The Agency failed to ensure services were provided as ordered by the Physician in the Plan of Care.

Source: CMS Form 2567, inspection 2019-02-22, tag G0710 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The Agency failed to ensure that the Aide supervision was conducted onsite every 14 days by the RN.

Source: CMS Form 2567, inspection 2019-02-22, tag G0808 · view on CMS
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Minor Required Items In Clinical Record

The clinical records were not complete as required by the Agency's policy.

Source: CMS Form 2567, inspection 2019-02-22, tag G1012 · view on CMS
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