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Medtec Home Health Agency, Inc

(708) 681-200910001 W Roosevelt Rd, Ste 209, Westchester, IL 60154
CMS Certification Number 147739 · Proprietary · Medicare-certified since 07/01/2003
12deficiencies since 2018
0serious
3inspections
3CMS 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 2024-05-31

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Ep Training Program

The Agency failed to conduct staff training, relative to the Agency's Emergency Preparedness plan.

Source: CMS Form 2567, inspection 2024-05-31, tag E0037 · view on CMS
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Moderate Encoding And Transmitting Oasis

In 19 of 415 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

Source: CMS Form 2567, inspection 2024-05-31, tag G0372 · view on CMS
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Minor Participate In Care

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure Pts. were informed in writing of the frequency of visits provided by each discipline.

Source: CMS Form 2567, inspection 2024-05-31, tag G0434 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure the Agency assessed the need for Influenza and Pneumococcal vaccination during admission (Start of Care) per Agency policy.

Source: CMS Form 2567, inspection 2024-05-31, 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) the Agency failed to provide information regarding the Clinical Manager (Director of Nursing) and their contact information.

Source: CMS Form 2567, inspection 2024-05-31, tag G0622 · view on CMS
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Inspection 2021-05-27

· Focused Infection Control, Other-Fed, Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The Agency failed to ensure staff are screened for COVID-19, prior to providing Pt. care and service.

Source: CMS Form 2567, inspection 2021-05-27, tag G0682 · view on CMS
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Minor Participate In Care

The Agency failed to ensure Pts. were informed and/or participated in the frequency of visits provided by each discipline.

Source: CMS Form 2567, inspection 2021-05-27, tag G0434 · view on CMS
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Minor Payment From Federally Funded Programs

The Agency failed to ensure Pts. are advised of the extent of their financial liability for care, and/or services before care is initiated.

Source: CMS Form 2567, inspection 2021-05-27, tag G0440 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The Agency failed to ensure that the physician was notified regarding changes in skin condition as required by the POC.

Source: CMS Form 2567, inspection 2021-05-27, tag G0590 · view on CMS
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Minor Interventions And Patient Response

The Agency failed to ensure the medications listed in the clinical record were complete and accurate.

Source: CMS Form 2567, inspection 2021-05-27, tag G1014 · view on CMS
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Inspection 2018-04-26

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Provide Services In The Plan Of Care

The Agency failed to ensure services were provided as required by the POC.

Source: CMS Form 2567, inspection 2018-04-26, tag G0710 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The RN failed to supervise the Home Health Aide every 2 weeks.

Source: CMS Form 2567, inspection 2018-04-26, tag G0808 · view on CMS
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