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Devoted Healthcare, Inc

(847) 991-37112720 S River Rd, Ste 4, Des Plaines, IL 60018
CMS Certification Number 148031 · Proprietary · Medicare-certified since 02/12/2009
19deficiencies since 2018
0serious
2inspections
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 2025-04-10

· Complaint, Recertification · 15 deficiencies · CMS source report (PDF)
Moderate Development Of Ep Policies And Procedures

The Agency failed to establish policies and procedures based on the risk assessment.

Source: CMS Form 2567, inspection 2025-04-10, tag E0013 · view on CMS
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Moderate Ep Training Program

The Agency failed to ensure staff received training pertaining to the Agency's Emergency Operations Plan.

Source: CMS Form 2567, inspection 2025-04-10, tag E0037 · view on CMS
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Moderate Encoding And Transmitting Oasis

In of 5541 of 12587 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.

Source: CMS Form 2567, inspection 2025-04-10, tag G0372 · view on CMS
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Moderate Plan Of Care

In 3 of 7 (Pts. #1, 7, and 4) clinical records reviewed, the Agency failed to ensure staff provide service indicated in the POC; and the Physician review and sign the initial POC.

Source: CMS Form 2567, inspection 2025-04-10, tag G0572 · 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 Pt./patient's representative information regarding the Administrator.

Source: CMS Form 2567, inspection 2025-04-10, tag G0414 · view on CMS
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Minor Written Notice Within 4 Business Days

In 7 of 7 (Pts. #1, 2, 3, 4, 5, 6, and 7) clinical records reviewed, the Agency failed to provide Pts. information regarding the Agency's transfer and discharge policies.

Source: CMS Form 2567, inspection 2025-04-10, tag G0422 · 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 disciplines to provide care/service, and/or the frequency of visits provided by each discipline.

Source: CMS Form 2567, inspection 2025-04-10, tag G0434 · view on CMS
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Minor Advise The Patient Of Discharge For Cause

In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to ensure the Pt., and the patient’s care provider were notified of the Agency discharge.

Source: CMS Form 2567, inspection 2025-04-10, tag G0464 · view on CMS
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Minor Provide Contact Info Other Services

In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to present the Pt. with referral sources to continue care and services, prior to the Agency discharge.

Source: CMS Form 2567, inspection 2025-04-10, tag G0468 · view on CMS
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Minor Document Efforts To Resolve Problems

In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to address Pt. issues, prior to Agency discharge.

Source: CMS Form 2567, inspection 2025-04-10, tag G0470 · view on CMS
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Minor Plan Of Care Must Include The Following

For 3 of 7 (Pts. #6, 7, and 3) clinical records reviewed, the Agency failed to ensure PsOC included all the requirements.

Source: CMS Form 2567, inspection 2025-04-10, tag G0574 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

In 3 of 7 (Pts. #1, 2, and 6) clinical records reviewed, the Agency failed to assess Pt.

Source: CMS Form 2567, inspection 2025-04-10, 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 Agency Supervisor (Clinical Director) and their contact information.

Source: CMS Form 2567, inspection 2025-04-10, tag G0622 · view on CMS
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Minor Required Items In Clinical Record

In 1 of 7 (Pt. #7) clinical records reviewed, the Agency failed to ensure that documentation entered into the clinical record was complete.

Source: CMS Form 2567, inspection 2025-04-10, tag G1012 · view on CMS
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Minor Discharge And Transfer Summaries

In 1 of 2 (Pt. #7) closed clinical records reviewed, the Agency failed to ensure the Physician was sent a copy of the discharge summary.

Source: CMS Form 2567, inspection 2025-04-10, tag G1022 · view on CMS
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Inspection 2022-02-07

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

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

Source: CMS Form 2567, inspection 2022-02-07, tag G0682 · view on CMS
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Moderate Infection Control

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

Source: CMS Form 2567, inspection 2022-02-07, tag G0684 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

The Agency failed to ensure Pts. were assessed for the status of the influenza and/or pneumococcal vaccine at the (SOC) Start of Care per Agency policy.

Source: CMS Form 2567, inspection 2022-02-07, tag G0582 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency failed to ensure the Physician was sent a copy of the Discharge Summary.

Source: CMS Form 2567, inspection 2022-02-07, tag G1022 · view on CMS
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