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Prime Home Health Services, Inc

(847) 803-85502644 W Dempster St, Ste T-207, Park Ridge, IL 60068
CMS Certification Number 147865 · Proprietary · Medicare-certified since 04/11/2006
16deficiencies since 2018
0serious
3inspections
n/aCMS 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 2026-07-23

· Recertification · 8 deficiencies · CMS source report (PDF)
Moderate Develop Ep Plan, Review And Update Annually

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

Source: CMS Form 2567, inspection 2026-07-23, tag E0004 · view on CMS
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Moderate Names And Contact Information

The Agency failed to have a communication plan that included the current names and required contact information.

Source: CMS Form 2567, inspection 2026-07-23, tag E0030 · view on CMS
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Minor Hha Administrator Contact Information

The Agency failed to provide the name and contact information of the Administrator to Pts. or their families to report complaints/grievances.

Source: CMS Form 2567, inspection 2026-07-23, tag G0414 · view on CMS
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Minor Participate In Care

The Agency failed to ensure Pts. and/or patients’ representatives were informed in writing of the disciplines to provide care/service, and the frequency of visits provided by each discipline.

Source: CMS Form 2567, inspection 2026-07-23, tag G0434 · view on CMS
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Minor Only As Ordered By A Physician

The Agency failed to ensure physician orders were followed.

Source: CMS Form 2567, inspection 2026-07-23, tag G0580 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

6 and 7) the Agency failed to provide information regarding the Agency Supervisor/Director of Nursing (DON), and their contact information.

Source: CMS Form 2567, inspection 2026-07-23, tag G0622 · view on CMS
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Minor Required Items In Clinical Record

The Agency failed to ensure that information in the clinical records was complete and accurate.

Source: CMS Form 2567, inspection 2026-07-23, tag G1012 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency failed to ensure a copy of the discharge summary was sent to the physician.

Source: CMS Form 2567, inspection 2026-07-23, tag G1022 · view on CMS
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Inspection 2023-07-21

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Plan Based On All Hazards Risk Assessment

The Agency failed to comply with the Condition of Participation 42 CFR 484.102(a)(1)(2) Risk assessment.

Source: CMS Form 2567, inspection 2023-07-21, tag E0006 · view on CMS
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Moderate Ep Testing Requirements

The Agency failed to comply with the requirements of the EP testing program.

Source: CMS Form 2567, inspection 2023-07-21, tag E0039 · view on CMS
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Moderate Conformance With Physician Orders

The Agency failed to ensure the Staff conformed to the Physician orders in the plan of care.

Source: CMS Form 2567, inspection 2023-07-21, tag G0578 · view on CMS
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Moderate Clinical Manager

The Agency lacked a designated Clinical Manager.

Source: CMS Form 2567, inspection 2023-07-21, tag G1056 · view on CMS
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Minor Nursing Services Supervised By Rn

The LPN supervisory visit was not conducted by the RN.

Source: CMS Form 2567, inspection 2023-07-21, tag G0726 · view on CMS
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Minor Ensure Clinical Manager Is Available

The Agency lacked a designated Clinical Manager, during all operating hours.

Source: CMS Form 2567, inspection 2023-07-21, tag G0950 · view on CMS
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Minor Required Items In Clinical Record

The Agency failed to ensure the clinical record was complete.

Source: CMS Form 2567, inspection 2023-07-21, tag G1012 · view on CMS
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Inspection 2020-09-17

· Focused Infection Control, Other-Fed, Recertification · 1 deficiencies · CMS source report (PDF)
Minor Required Items In Clinical Record

The Agency failed to ensure the contents in the clinical records were complete and accessible.

Source: CMS Form 2567, inspection 2020-09-17, tag G1012 · view on CMS
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