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Deliverance Home Health Care, Inc

(847) 972-11595940 West Touhy Avenue, Ste 205, Niles, IL 60714
CMS Certification Number 148123 · Proprietary · Medicare-certified since 03/25/2010
9deficiencies since 2018
0serious
4inspections
2CMS 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 2025-08-28

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Encoding And Transmitting Oasis

The Agency failed to submit a timely report, resulting in a warning, for 13 of 373 reports submitted in the last 12 months.

Source: CMS Form 2567, inspection 2025-08-28, tag G0372 · view on CMS
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Moderate Plan Of Care

The Agency failed to ensure that the staff provided service as ordered in the POC for 2 of 7 (Pts. # 4 and 5) clinical records reviewed.

Source: CMS Form 2567, inspection 2025-08-28, tag G0572 · view on CMS
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Minor Participate In Care

Admission folder, clinical record review, observation during home visits, and staff interviews, the Agency failed to ensure that the Pt. / representative was informed in writing of the services to be provided and the frequency of visits for 7 of 7 (Pts. # 1,2 ,3, 4, 5, 6 and 7) clinical records…

Source: CMS Form 2567, inspection 2025-08-28, tag G0434 · view on CMS
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Minor Rn Performs Assessment

The Agency failed to ensure an RN performed the initial assessment within 48 hours of the Physician referral for Home Health Care services in 2 of 7 (Pts. #2 and 3) clinical records reviewed.

Source: CMS Form 2567, inspection 2025-08-28, tag G0514 · view on CMS
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Minor Plan Of Care Must Include The Following

The Agency failed to ensure the PsOC included Pt. specific interventions for 3 of 7 (Pts. #2, 6 and 7) clinical records reviewed.

Source: CMS Form 2567, inspection 2025-08-28, tag G0574 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

6 and 7) the Agency failed to conduct complete assessments for Pts. for influenza and pneumonia status.

Source: CMS Form 2567, inspection 2025-08-28, tag G0582 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency failed to ensure a transfer/ discharge summary was sent to the receiving facility and/or Physician for 2 of 2 (Pts. #6 and 7) discharged records reviewed.

Source: CMS Form 2567, inspection 2025-08-28, tag G1022 · view on CMS
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Inspection 2022-06-03

· Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2019-08-16

· Recertification · 2 deficiencies · CMS source report (PDF)
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 2019-08-16, tag G0808 · view on CMS
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Minor Required Items In Clinical Record

The clinical records were not complete.

Source: CMS Form 2567, inspection 2019-08-16, tag G1012 · view on CMS
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Inspection 2019-04-17

· Complaint · no deficiencies cited · CMS source report (PDF)