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Reliacare Ltd.

(630) 960-51001263 S Highland Ave, Unit 2H, Lombard, IL 60148
CMS Certification Number 147693 · Proprietary · Medicare-certified since 09/12/1997
27deficiencies since 2018
2serious
4inspections
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 2024-01-12

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Names And Contact Information

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

Source: CMS Form 2567, inspection 2024-01-12, tag E0030 · view on CMS
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Moderate Ep Testing Requirements

The Agency failed to conduct any testing of the Emergency Plan since 2021. Findings include: 1. The Agency's Emergency Preparedness Plan was reviewed on 01/10/24 at 1:00 PM.

Source: CMS Form 2567, inspection 2024-01-12, tag E0039 · view on CMS
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Minor Plan Of Care Must Include The Following

The Agency failed to ensure the Plans of Care included patient specific interventions to address the underlying risk factors pertinent to Diagnosis.

Source: CMS Form 2567, inspection 2024-01-12, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The Agency failed to ensure that clinical staff provide treatments only as ordered by a physician.

Source: CMS Form 2567, inspection 2024-01-12, tag G0580 · view on CMS
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Inspection 2023-06-06

· Complaint · 3 deficiencies · CMS source report (PDF)
Moderate Home Health Aide Assignments And Duties

The Agency failed to provide the home health aide with a written plan of care.

Source: CMS Form 2567, inspection 2023-06-06, tag G0798 · view on CMS
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Moderate Administrator Must:

The Administrator failed to maintain a clear line of organization between agencies.

Source: CMS Form 2567, inspection 2023-06-06, tag G0944 · view on CMS
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Minor A Qualified Hh Aide Successfully Completed:

The Agency failed to ensure qualifications of the home health aide prior to providing care to patient.

Source: CMS Form 2567, inspection 2023-06-06, tag G0754 · view on CMS
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Inspection 2022-03-21

· Complaint · no deficiencies cited · CMS source report (PDF)

Inspection 2021-02-04

· Focused Infection Control, Other-Fed, Recertification · 20 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The Agency failed to review and update its Emergency Plan and policies biannually; failed to ensure its Emergency Plan was based on a facility and community risk assessment, utilizing an all hazards approach; failed to ensure the Emergency Plan included volunteers; failed to have an Emergency…

Source: CMS Form 2567, inspection 2021-02-04, tag E0001 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

The Agency failed to ensure the PsOC included all the medications and treatments ; failed to ensure the POC was followed per physician orders ; failed to ensure Agency developed a policy for immunization screening; failed to ensure physician was notified of Pt. transfer to an Inpatient Facility…

Source: CMS Form 2567, inspection 2021-02-04, tag G0570 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

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

Source: CMS Form 2567, inspection 2021-02-04, tag E0004 · view on CMS
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Moderate Plan Based On All Hazards Risk Assessment

The Agency failed to ensure the Emergency Preparedness Plan was based on a facility and community risk assessment, utilizing an all hazards approach.

Source: CMS Form 2567, inspection 2021-02-04, tag E0006 · view on CMS
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Moderate Policies/Procedures-Volunteers And Staffing

The Agency failed to ensure the Emergency Plan included volunteers.

Source: CMS Form 2567, inspection 2021-02-04, tag E0024 · view on CMS
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Moderate Names And Contact Information

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

Source: CMS Form 2567, inspection 2021-02-04, tag E0030 · view on CMS
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Moderate Ep Training And Testing

The Agency failed to provide Emergency Preparedness staff training and testing of the Emergency Plan.

Source: CMS Form 2567, inspection 2021-02-04, tag E0036 · view on CMS
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Moderate Standard: Initial Assessment Visit.

The Agency failed to ensure the initial assessment was accurate.This was found in 2 of 3 Pts.

Source: CMS Form 2567, inspection 2021-02-04, tag G0512 · view on CMS
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Moderate Conformance With Physician Orders

The Agency failed to ensure the POC was followed per physician's order.

Source: CMS Form 2567, inspection 2021-02-04, tag G0578 · view on CMS
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Moderate Infection Control

The Agency failed to maintain and implement a surveillance program to identify, prevent, control, monitor and track staff and Pts. with infections.

Source: CMS Form 2567, inspection 2021-02-04, tag G0684 · view on CMS
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Moderate Authentication

The Agency failed to ensure physician signature was obtained on initial POC.

Source: CMS Form 2567, inspection 2021-02-04, tag G1024 · view on CMS
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Minor Written Notice Within 4 Business Days

The Agency failed to ensure Pts. received a copy of the Agency's transfer and discharge policy.

Source: CMS Form 2567, inspection 2021-02-04, tag G0422 · view on CMS
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Minor At Discharge

The Agency failed to ensure the comprehensive assessment was updated at discharge.

Source: CMS Form 2567, inspection 2021-02-04, tag G0550 · view on CMS
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Minor Plan Of Care Must Include The Following

The Agency failed to ensure PsOC included all medications and treatments.

Source: CMS Form 2567, inspection 2021-02-04, tag G0574 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

The Agency failed to develop a policy for immunization screening.

Source: CMS Form 2567, inspection 2021-02-04, tag G0582 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The Agency failed to ensure the Agency failed to ensure physician was notified of Pt. transfer to an Impatient facility.

Source: CMS Form 2567, inspection 2021-02-04, tag G0590 · view on CMS
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Minor Discharge Plans Communication

The Agency failed to ensure patient discharge plan change was communicated to the physician.

Source: CMS Form 2567, inspection 2021-02-04, tag G0598 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

The Agency failed to provide information regarding the Clinical Manager (Agency Supervisor) and their contact information.

Source: CMS Form 2567, inspection 2021-02-04, tag G0622 · view on CMS
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Minor Required Items In Clinical Record

The Agency failed to ensure the consent for treatment was incorporated into the clinical record.

Source: CMS Form 2567, inspection 2021-02-04, tag G1012 · 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 2021-02-04, tag G1022 · view on CMS
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