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 4 Pending 5 Submitted Under Review 2 OASIS to Process Export to HAS OASIS to Lock 9 Export to State
Late OASIS Percentage
September 2025
27.54%
as of 09/12/25 04:52 PM
9 SOC 1 Transfer 5 ROC 1 Recert 3 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 08/22/2025
ROC 		HARBIN, CHARLES
MRN: 900002644 		08/24/25-08/28/25 Mary G.
Skilled Nurses 		Submitted Completed
ROC 		Mary 08/27/25 09:13 AM
submitted the form 		08/15/2025
HENDERSON HOSPITAL 		09/20/2025 Sat
HHRG Report 09/02/2025
ROC 		AMUNDSON, RITA
MRN: 900010489 		10/13/25-10/17/25 Josh C.
Skilled Nurses 		Submitted Completed
ROC 		Josh 09/02/25 04:21 PM
submitted the form 		08/31/2025
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS 		10/01/2025 Wed
HHRG Report 09/02/2025
ROC 		ELLIS ENRIQUEZ, SUSAN
MRN: 900010037 		09/18/25-09/22/25 Deylis H.
Skilled Nurses 		Submitted Completed
ROC 		Deylis 09/02/25 09:38 PM
submitted the form 		08/20/2025
MOUNTAINVIEW HOSPITAL 		10/01/2025 Wed
HHRG Report 09/04/2025
ROC 		FIFE, BETTY
MRN: 900010413 		09/12/25-09/16/25 Josh C.
Skilled Nurses 		Submitted Completed
ROC 		Josh 09/04/25 04:28 PM
submitted the form 		08/19/2025
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS 		10/03/2025 Fri
HHRG Report 09/09/2025
ROC 		KRASN, STEVEN
MRN: 900010509 		10/20/25-10/24/25 Josh C.
Skilled Nurses 		Submitted Completed
ROC 		Josh 09/09/25 03:44 PM
submitted the form 		09/05/2025
MOUNTAINVIEW HOSPITAL 		10/08/2025 Wed