Forms to Track / OASIS Resumption of Care
Need to transmit a completed OASIS to iQIES by 4PM PST
to avoid financial reimbursement penalty.
Status
OASIS Packet 5 Pending 8 Submitted Under Review OASIS to Process Export to HAS OASIS to Lock 6 Export to State
Late OASIS Percentage
November 2025
10.81%
as of 11/07/25 03:55 PM
2 ROC 2 D/C
Submitted
HHRG Report Form Date Patient Recert Window Assessor Verbal Order Packet Status (for payroll) Last Tracking Status Last Transfer IQIES Due Date
HHRG Report 10/16/2025
ROC 		AREAS MOLINA, JOSE
MRN: 900010547 		11/19/25-11/23/25 Joan L.
Skilled Nurses 		Submitted Completed
ROC 		Joan 10/28/25 11:13 PM
submitted the form 		10/06/2025
MOUNTAINVIEW HOSPITAL 		11/14/2025 Fri
HHRG Report 10/16/2025
ROC 		PATCHEN, DIANA
MRN: 900010572 		11/18/25-11/22/25 Beverly C.
Skilled Nurses 		Submitted Completed
ROC 		Beverly 10/30/25 06:01 AM
submitted the form 		10/07/2025
SUNRISE HOSPITAL AND MEDICAL CENTER 		11/14/2025 Fri
HHRG Report 10/17/2025
ROC 		BEGAYE, ASA
MRN: 900010582 		11/23/25-11/27/25 Soline L.
Skilled Nurses 		Submitted Completed
ROC 		Soline 10/19/25 11:57 PM
submitted the form 		10/10/2025
PAM Rehabilitation Hospital 		11/15/2025 Sat
HHRG Report 10/18/2025
ROC 		MIRZASAFI, BIJAN
MRN: 900010565 		11/16/25-11/20/25 Yani C.
Skilled Nurses 		Submitted Completed
ROC 		Yani 10/22/25 08:32 PM
submitted the form 		10/10/2025
MOUNTAINVIEW HOSPITAL 		11/16/2025 Sun
HHRG Report 10/21/2025
ROC 		RODRIGUEZ BRISENO, ANTONIO
MRN: 900010595 		11/26/25-11/30/25 Joan L.
Skilled Nurses 		Submitted Completed
ROC 		Joan 10/28/25 07:44 PM
submitted the form 		10/05/2025
MOUNTAINVIEW HOSPITAL 		11/19/2025 Wed
HHRG Report 10/25/2025
ROC 		KATZ, LOUIS
MRN: 900010574 		11/30/-0001
Discharged Date 		Soline L.
Skilled Nurses 		Submitted Completed
ROC 		Soline 10/27/25 11:59 PM
submitted the form 		10/20/2025
MOUNTAINVIEW HOSPITAL 		11/23/2025 Sun
HHRG Report 10/31/2025
ROC 		PROWS, DONNA
MRN: 900006676 		11/24/25-11/28/25 Josh C.
Skilled Nurses 		Submitted Completed
ROC 		Josh 11/03/25 05:05 PM
submitted the form 		10/23/2025
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS 		11/29/2025 Sat
HHRG Report 11/01/2025
ROC 		BEGAYE, ASA
MRN: 900010582 		11/23/25-11/27/25 Deb D.
Skilled Nurses 		Pending Pending
ROC 		Deb 11/02/25 04:56 PM
submitted the form 		10/28/2025
UNIVERSITY MEDICAL CENTER 		11/30/2025 Sun