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Quality Life Health Care Serv LLC

(708) 331-421415525 South Park Avenue, Ste 103A, South Holland, IL 60473
CMS Certification Number 148185 · Proprietary · Medicare-certified since 08/18/2010
11deficiencies since 2018
0serious
2inspections
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 2023-11-30

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Plan Based On All Hazards Risk Assessment

The Agency failed to ensure the Plan was established based on a risk assessment using an all-hazards approach.

Source: CMS Form 2567, inspection 2023-11-30, tag E0006 · view on CMS
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Moderate Names And Contact Information

The Agency failed to ensure the communication plan was complete.

Source: CMS Form 2567, inspection 2023-11-30, tag E0030 · view on CMS
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Moderate Conformance With Physician Orders

The Agency failed to ensure that Staff provided care as ordered by the physician.

Source: CMS Form 2567, inspection 2023-11-30, tag G0578 · view on CMS
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Minor Coordinate Patient Care

The Agency failed to ensure the coordination of care.

Source: CMS Form 2567, inspection 2023-11-30, tag G0962 · view on CMS
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Minor Required Items In Clinical Record

The Agency failed to ensure that the clinical records were complete and accurate.

Source: CMS Form 2567, inspection 2023-11-30, tag G1012 · view on CMS
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Inspection 2020-12-24

· Focused Infection Control, Other-Fed, Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The Agency failed to ensure the Physician was consulted after the evaluation visit to approve additions to the POC, and/or approve additional services provided.

Source: CMS Form 2567, inspection 2020-12-24, tag G0572 · view on CMS
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Moderate Infection Control

The Agency failed to investigate patient's exposure to COVID-19. This was found in 1 of 1 (Pt. #1) home visit conducted with the SN.

Source: CMS Form 2567, inspection 2020-12-24, tag G0684 · view on CMS
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Moderate Authentication

The Agency failed to ensure documentation entered into clinical record was clear and consistent.

Source: CMS Form 2567, inspection 2020-12-24, tag G1024 · view on CMS
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Minor Plan Of Care Must Include The Following

The POC failed to include Pt. specific interventions and/or accurate POC.

Source: CMS Form 2567, inspection 2020-12-24, tag G0574 · view on CMS
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Minor Provide Services In The Plan Of Care

The PsOC were not followed.

Source: CMS Form 2567, inspection 2020-12-24, tag G0710 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency failed to forward a copy of the discharge summary to the Physician.

Source: CMS Form 2567, inspection 2020-12-24, tag G1022 · view on CMS
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