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Lyfe Home Health

(847) 966-16166050 Oakton Street, Morton Grove, IL 60053
CMS Certification Number 148044 · Non-Profit · Medicare-certified since 03/09/2009
18deficiencies 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 2024-02-22

· Recertification · 10 deficiencies · CMS source report (PDF)
Moderate Develop Ep Plan, Review And Update Annually

The Agency failed to review and update its Emergency Plan and policies biannually.

Source: CMS Form 2567, inspection 2024-02-22, tag E0004 · view on CMS
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Moderate Plan Based On All Hazards Risk Assessment

The Agency failed to ensure the Emergency Preparedness Plan was based on a facility and community risk assessment, utilizing an all-hazards approach.

Source: CMS Form 2567, inspection 2024-02-22, tag E0006 · view on CMS
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Moderate Ep Training Program

The Agency failed to ensure staff received Emergency Preparedness training every 2 years.

Source: CMS Form 2567, inspection 2024-02-22, tag E0037 · view on CMS
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Moderate Conformance With Physician Orders

In 2 of 7 (Pts. #2 and 5) clinical records reviewed, the Agency failed to ensure staff provide service as ordered by the Physician, and indicated in the Plan of Care.

Source: CMS Form 2567, inspection 2024-02-22, tag G0578 · view on CMS
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Minor Hha Administrator Contact Information

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide the name of the Administrator.

Source: CMS Form 2567, inspection 2024-02-22, tag G0414 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide information regarding Federal and state funded organizations that provide service in the patient's community.

Source: CMS Form 2567, inspection 2024-02-22, tag G0446 · view on CMS
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Minor Rn Performs Assessment

In 3 of 7 (Pts. #2, 6 and 7) clinical records reviewed, the Agency failed to ensure the initial assessment visit was done within 48 hours of the referral date.

Source: CMS Form 2567, inspection 2024-02-22, tag G0514 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

In 4 of 7 (Pts. #1, 3, 5 and 6) clinical records reviewed, the agency failed to assess the need for Pneumococcal Pneumonia and/or Influenza vaccines.

Source: CMS Form 2567, inspection 2024-02-22, tag G0582 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide the name of the Clinical Manager.

Source: CMS Form 2567, inspection 2024-02-22, tag G0622 · view on CMS
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Minor Discharge And Transfer Summaries

In 2 of 2 (Pts. #6 and 7) clinical records reviewed, the Agency failed to ensure the Physician was sent a copy of the discharge summary.

Source: CMS Form 2567, inspection 2024-02-22, tag G1022 · view on CMS
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Inspection 2021-03-18

· Focused Infection Control, Other-Fed, Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Infection Control

The Agency failed to implement their infection control surveillance plan and, failed to track and monitor staff and patients who were potentially exposed to COVID-19, as per infection control policy.

Source: CMS Form 2567, inspection 2021-03-18, tag G0684 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure PsoC included all requirements.

Source: CMS Form 2567, inspection 2021-03-18, tag G0574 · view on CMS
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Inspection 2018-01-12

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Compliance W/ Accepted Professional Std

The Agency failed to ensure that staff followed professional standards and principles for bag technique.

Source: CMS Form 2567, inspection 2018-01-12, tag G0121 · view on CMS
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Moderate Acceptance Of Patients, Poc, Med Super

The Agency failed to ensure the staff provided care and/or services in accordance with the PsOC.

Source: CMS Form 2567, inspection 2018-01-12, tag G0158 · view on CMS
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Moderate Plan Of Care

The Agency failed to ensure that the PsOC covered all pertinent diagnoses, frequencies, medications and treatments.

Source: CMS Form 2567, inspection 2018-01-12, tag G0159 · view on CMS
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Moderate Duties Of The Registered Nurse

The SN failed to prepare clinical and progress notes, coordinate services and inform physician of patient's condition and needs.

Source: CMS Form 2567, inspection 2018-01-12, tag G0176 · view on CMS
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Moderate Supervision

The Registered Nurse did not supervise the Aide onsite at the patient's home every two weeks.

Source: CMS Form 2567, inspection 2018-01-12, tag G0229 · view on CMS
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Moderate Clinical Records

The records were not complete and lacked timely incorporation.

Source: CMS Form 2567, inspection 2018-01-12, tag G0236 · view on CMS
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