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Essential Preventive Health Care, LLC

(630) 376-6024101 W. 22ND St, Lombard, IL 60148
CMS Certification Number 148197 · Proprietary · Medicare-certified since 10/26/2010
9deficiencies 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 2026-01-22

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Encoding And Transmitting Oasis

The Agency failed to submit all reports within 30 days after the assessment was completed.

Source: CMS Form 2567, inspection 2026-01-22, tag G0372 · view on CMS
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Moderate Plan Of Care

#6) the Agency failed to ensure the POC was followed.

Source: CMS Form 2567, inspection 2026-01-22, tag G0572 · view on CMS
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Moderate Home Health Aide Assignments And Duties

(Pt.#1 and 2) reviewed receiving Home Health Aide services, the Agency failed ensure that the written Pt. care instructions were based on RN assessment of the Pts.

Source: CMS Form 2567, inspection 2026-01-22, tag G0798 · view on CMS
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Minor Rn Performs Assessment

The Agency failed to ensure an RN performed the initial assessment within 48 hours of the Physician referral for home health care services.

Source: CMS Form 2567, inspection 2026-01-22, tag G0514 · view on CMS
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Inspection 2022-11-03

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The Agency failed to ensure staff provide care and/or service as specified in the POC.

Source: CMS Form 2567, inspection 2022-11-03, tag G0572 · view on CMS
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Moderate Authentication

The Agency failed to ensure that documentation entered into the clinical record was complete.

Source: CMS Form 2567, inspection 2022-11-03, tag G1024 · view on CMS
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Minor Payment From Federally Funded Programs

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

Source: CMS Form 2567, inspection 2022-11-03, tag G0440 · view on CMS
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Minor Integrate All Services

The Agency failed to ensure that changes in the patient's condition and/or concerns are communicated to the members of the healthcare team, caregivers and with the physician to ensure Pt. needs were identified and addressed.

Source: CMS Form 2567, inspection 2022-11-03, tag G0606 · 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 2022-11-03, tag G1022 · view on CMS
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