|
HHRG Report |
Form Date |
Patient |
Recert Window |
Assessor |
Verbal Order |
Packet Status (for payroll) |
Last Tracking Status |
Last Transfer |
IQIES Due Date |
|
|
|
06/18/2026
|
SCRIVEN,
GARY
MRN:
900010273
|
11/30/-0001
Discharged Date
|
IG R.
Skilled Nurses
|
Missing Verbal Order
|
|
IG
06/19/26 02:52 PM
submitted the form
|
|
07/17/2026 Fri |
|
|
HHRG Report
|
07/10/2026
ROC
|
CHRISTO,
GEORGE
MRN:
900010575
|
08/05/26-08/09/26 |
Mary G.
Skilled Nurses
|
Submitted |
Completed
ROC
|
Daniel
07/14/26 03:48 PM
received the form
|
07/03/2026
SUNRISE HOSPITAL AND MEDICAL CENTER
|
08/08/2026 Sat |
|
|
HHRG Report
|
07/11/2026
ROC
|
BOTHA,
SUSAN
MRN:
900011043
|
08/08/26-08/12/26 |
Jenny A.
Skilled Nurses
|
Submitted |
Pending
ROC
|
Jenny
08/05/26 02:13 AM
submitted the form
|
06/22/2026
Las Ventanas Retirement Community
|
08/09/2026 Sun |
|
|
HHRG Report
|
07/11/2026
ROC
|
NAVARRA,
RICHARD
MRN:
900002895
|
07/17/26-07/21/26 |
Deb D.
Skilled Nurses
|
Submitted |
Completed
ROC
|
Deb
07/13/26 09:36 AM
submitted the form
|
07/05/2026
MOUNTAINVIEW HOSPITAL
|
08/09/2026 Sun |
|
|
HHRG Report
|
07/12/2026
ROC
|
GAFFORD,
CHRISTINE
MRN:
900011206
|
07/24/2026
Discharged Date
|
SKY B.
Skilled Nurses
|
Submitted |
Completed
ROC
|
SKY
07/14/26 09:11 AM
submitted the form
|
06/30/2026
MOUNTAINVIEW HOSPITAL
|
08/10/2026 Mon |
|
|
HHRG Report
|
07/14/2026
ROC
|
WOOD,
RICHARD
MRN:
900011188
|
08/19/26-08/23/26 |
SKY B.
Skilled Nurses
|
Submitted |
Completed
ROC
|
SKY
07/19/26 07:37 PM
submitted the form
|
07/03/2026
MOUNTAINVIEW HOSPITAL
|
08/12/2026 Wed |
|
|
HHRG Report
|
07/21/2026
ROC
|
KACHIKIS,
ERNESTINE
MRN:
900009832
|
07/22/26-07/26/26 |
Alexis B.
Skilled Nurses
|
Submitted |
Completed
ROC
|
Alexis
07/22/26 08:42 PM
submitted the form
|
07/15/2026
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS
|
08/19/2026 Wed |
|
|
HHRG Report
|
07/28/2026
ROC
|
OCHOA,
ISABEL
MRN:
900010923
|
08/19/26-08/23/26 |
Alexis B.
Skilled Nurses
|
Submitted |
Pending
ROC
|
Alexis
08/02/26 06:56 PM
submitted the form
|
07/26/2026
ST. ROSE DOMINICAN HOSPITAL, SAN MARTIN CAMPUS
|
08/26/2026 Wed |
|
|
HHRG Report
|
07/30/2026
ROC
|
SHOWLER,
JAMES
MRN:
900011247
|
08/28/26-09/01/26 |
Mary G.
Skilled Nurses
|
Submitted |
Pending
ROC
|
Mary
08/03/26 11:46 AM
submitted the form
|
07/24/2026
UNIVERSITY MEDICAL CENTER
|
08/28/2026 Fri |
|
|
HHRG Report
|
07/30/2026
ROC
|
PENKALSKI,
DIANE
MRN:
900011244
|
08/25/26-08/29/26 |
SKY B.
Skilled Nurses
|
Submitted |
Pending
ROC
|
SKY
08/02/26 07:31 PM
submitted the form
|
07/18/2026
SPRING VALLEY MEDICAL CENTER
|
08/28/2026 Fri |
