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Golden Haven Care, Inc
(708) 358-12676525 W North Avenue, Suite 107, Oak Park, IL 60302
CMS Certification Number 147768 · Proprietary · Medicare-certified since 04/30/2004
4deficiencies since 2018
0serious
2inspections
2.5CMS 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 2024-11-07
· Recertification · 3 deficiencies · CMS source report (PDF)Moderate Encoding And Transmitting Oasis
In 186 of 281 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.
Source: CMS Form 2567, inspection 2024-11-07, tag G0372 · view on CMS
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Minor At Discharge
In 1 of 2 (Pt. #6) closed clinical records reviewed, the Agency failed to ensure the comprehensive assessment was updated at discharge.
Source: CMS Form 2567, inspection 2024-11-07, tag G0550 · view on CMS
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Minor Influenza And Pneumococcal Vaccines
In 4 of 7 (Pts. #2, 3, 5 and 7) clinical records reviewed, the Agency failed to ensure Pts. were assessed for the Influenza and / or Pneumonia vaccination status.
Source: CMS Form 2567, inspection 2024-11-07, tag G0582 · view on CMS
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Inspection 2021-09-24
· Recertification · 1 deficiencies · CMS source report (PDF)Minor Interventions And Patient Response
The Agency failed to ensure the staff documented all interventions/ services and responses to those intervention/ services.
Source: CMS Form 2567, inspection 2021-09-24, tag G1014 · view on CMS
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