Covenantcare at Home
A home health agency in Saint Charles, Illinois 60174
3755 East Main Ave, Ste 165, Saint Charles, Illinois 60174. (630) 845-0680.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 4of 5 quality of patient care rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Feb 7, 2025: a recertification inspection.
2 deficiencies cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Feb 2025. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Feb 7, 2025: recertification inspection2 deficiencies
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Encoding And Transmitting Oasis
The inspectors’ words, 196 words
“Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This Standard is not met as evidenced by: Based on review of the HHA Error Summary report and Staff interview, it was determined that in 1586 of 1824 OASIS reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning. Findings include: 1. The HHA Error Summary report for 01/01/24 to 12/31/24 (12 months), was reviewed on 02/06/25. The report included a warning for Error # -3330. The Error included 1586 of 1824 (86.95 %) OASIS assessments that were submitted late. 2. During an interview with the Administrator and Clinical Director on 02/06/25 at 11:00 AM, the Administrator stated that the Agency should submit the required Medicare OASIS within the 30-day timeframe of the assessment date. During the same interview, the Administrator confirmed that the required Medicare OASIS submissions for the 12 months mentioned above were submitted late.”
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Authentication
The inspectors’ words, 409 words
“Authentication CFR(s): 484.110(b) Standard: Authentication. All entries must be legible, clear, complete, and appropriately authenticated, dated, and timed. Authentication must include a signature and a title (occupation), or a secured computer entry by a unique identifier, of a primary author who has reviewed and approved the entry. This Standard is not met as evidenced by: Based on clinical record reviews and Staff interview, it was determined that in 6 of 13 (Pts. #7, 9,12,13, 10 and 11) clinical records reviewed, the Agency failed to ensure clinical records were complete. 5. Pt. #10 was admitted to Home Health Services on 06/27/24 with the Diagnosis of Spinal Stenosis. The clinical record was reviewed on 02/05/25. The SN visit notes 08/29, 09/02, and 09/05/24 lacked documentation of vital sign assessment. 6. Pt. #10 was admitted to Home Health Services on 06/27/24 with the Diagnosis of Pressure Ulcer of Sacral Region Stage 3. The clinical record was reviewed on 02/06/25. The SN visit notes dated 01/13, 01/20 and 01/27/24 lacked documentation of vital sign assessment. 7. During interviews with the Administrator and Clinical Director on 02/06/25 at 11:00 AM and 1:30 PM finding of the incomplete clinical records was confirmed. Findings include: 1. Pt. #7 was admitted to Home Health Services on 11/02/24 with the Diagnoses of Disruption of External Operation (Surgical Wound) and Type 2 Diabetes Mellitus with Hypoglycemia without coma. The clinical record was reviewed on 02/05/25. The SN notes dated 01/06/25 and 01/10/25, lacked documentation of blood sugar assessments. 2. Pt. #9 was admitted to Home Health Services on 12/12/24 with the Diagnoses of Age related osteoporosis with Current pathological fracture and Type 2 Diabetes Mellitus with Diabetic Chronic kidney disease. The clinical record was reviewed on 02/05/25. The initial SN assessment dated 12/12/24, lacked documentation of a blood sugar assessment. 3. Pt. #12 was admitted to Home Health Services on 05/22/24 with the Diagnosis of Encounter for change or removal of surgical wound. The clinical record was reviewed on 02/05/25. The following SN notes dated 09/20/24, 09/23/24, 09/25/24, 09/27/24, 09/30/24, 10/02/24, 10/11/24, 10/16/24 and 10/18/24, lacked documentation of vital sign assessments. 4. Pt. # 13 was admitted to Home Health Services on 02/13/24 with the Diagnosis of Type 2 Diabetes Mellitus and Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease. The clinical record was reviewed on 02/06/25. The SN note dated 03/23/24, lacked documentation of a blood pressure assessment.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 7, 2025 | Recertification inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since May 23, 1995.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Covenant Home Services owns 100% directly since Aug 7, 2007.
- Covenant Living Communities & Services and Covenant Home Services run it.
- 13 owners or officers are people: Janet S Creaney (corporate officer); Elizabeth Malzahn (corporate officer); Elizabeth Malzahn (corporate director); Elizabeth Malzahn (managing employee (on the payroll)); Terri Cunliffe (corporate officer); Terri Cunliffe (managing employee (on the payroll)); Terri Cunliffe (runs it (operational or managerial control)); Jean E Justie (corporate officer); Jean E Justie (managing employee (on the payroll)); Jean E Justie (runs it (operational or managerial control)); Matt Manlove (corporate officer); Teresa R Felder (managing employee (on the payroll)); Lorene G Flewellen (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Covenant Home Services | Owns 5% or more directly | 100% | Aug 7, 2007 |
| Covenant Living Communities & Services | Runs it (operational or managerial control) | Dec 23, 1975 | |
| Covenant Home Services | Runs it (operational or managerial control) | Sep 25, 2008 |
How do patients fare?
- CMS rates its quality of patient care 4 of 5.
- Patients rate it 3 of 5 in CMS’s patient survey (178 surveys completed): 88% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, better; potentially preventable readmissions after discharge, worse.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 3 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 102.61% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 4.46% (better than the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 5.33% (worse than the national rate) |
How does it compare nearby?
- Of the 77 agencies CMS’s data show serving patients in ZIP code 60174, where this agency’s office is, 72 have a quality of patient care rating; the middle one is 3.5 of 5, and this one is rated 4 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Covenantcare at Home This home health agency | 4 |
| Accucare Physical Therapy and Rehabilitation Services | 2.5 |
| Absolute Home Wellness | 2.5 |
| Visiting Nurse Assocation of Fox Valley | 2 |
| Advocate Home Health Care Serv | 4 |
| Interim Healthcare of Chicago | 3 |
| Uchicago Medicine Adventhealth Home Care | 4 |
| Enhabit Home Health | 3 |
| Amedisys Home Health | 4.5 |
| Journeycare Home Health | 4.5 |
| Residential Home Health | 3 |
| Apple Home Healthcare, Ltd. | 4.5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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