Forms to Track / OASIS Resumption of Care
Need to transmit a completed OASIS to iQIES by 5PM PDT
to avoid financial reimbursement penalty.
Status
OASIS Packet 9 Pending 7 Submitted Under Review OASIS to Process Export to HAS OASIS to Lock 7 Export to State
Late OASIS Percentage
July 2025
43.75%
as of 07/03/25 04:03 PM
7 SOC
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 06/04/2025
ROC 		HANSEMAN, ELISE
MRN: 900010102 		06/11/2025
Discharged Date 		Jennifer N.
Skilled Nurses 		Submitted Completed
ROC 		Daniel 06/19/25 10:25 AM
received the form 		05/25/2025
SUNRISE HOSPITAL AND MEDICAL CENTER 		07/03/2025 Thu
HHRG Report 06/10/2025
ROC 		VEA, TEVITA
MRN: 900010272 		11/30/-0001
Discharged Date 		Joan L.
Skilled Nurses 		Submitted Completed
ROC 		Joan 06/16/25 08:52 PM
submitted the form 		05/29/2025
ST. ROSE DOMINICAN HOSPITAL, SAN MARTIN CAMPUS 		07/09/2025 Wed
HHRG Report 06/10/2025
ROC 		MONSIVAIS, BETH
MRN: 900009169 		07/19/25-07/23/25 Josh C.
Skilled Nurses 		Submitted Completed
ROC 		Josh 06/16/25 01:04 PM
submitted the form 		06/04/2025
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS 		07/09/2025 Wed
06/12/2025
ERIKSON, CHARLES
MRN: 900010225 		07/02/25-07/06/25 Pam H.
Skilled Nurses 		Pending Pending
ROC 		Pam 06/26/25 09:18 PM
submitted the form 		06/05/2025
MOUNTAINVIEW HOSPITAL 		07/11/2025 Fri
HHRG Report 06/17/2025
ROC 		ELLISON JR, DANIEL
MRN: 900010299 		07/26/25-07/30/25 Soline L.
Skilled Nurses 		Submitted Completed
ROC 		Soline 06/21/25 05:51 AM
submitted the form 		06/06/2025
MOUNTAINVIEW HOSPITAL 		07/16/2025 Wed
HHRG Report 06/23/2025
ROC 		MCDONOUGH, LINDA
MRN: 15376 		08/07/25-08/11/25 Jennifer N.
Skilled Nurses 		Submitted Completed
ROC 		Jennifer 06/28/25 07:59 PM
submitted the form 		06/18/2025
HENDERSON HOSPITAL 		07/22/2025 Tue
HHRG Report 06/28/2025
ROC 		ABRANTE, JOSE
MRN: 900009505 		08/09/25-08/13/25 Beverly C.
Skilled Nurses 		Submitted Completed
ROC 		Beverly 07/01/25 04:55 PM
submitted the form 		06/16/2025
MOUNTAINVIEW HOSPITAL 		07/27/2025 Sun