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 6 Submitted Under Review 1 OASIS to Process Export to HAS OASIS to Lock 3 Export to State
Late OASIS Percentage
June 2026
32.73%
as of 06/05/26 04:58 PM
10 SOC 1 Transfer 4 ROC 3 Recert
Submitted
HHRG Report Form Date Patient Recert Window Assessor Verbal Order Packet Status (for payroll) Last Tracking Status Last Transfer IQIES Due Date
02/01/2026
GEORGE, RONNIE
MRN: 900010845 		02/06/2026
Discharged Date 		Joan L.
Skilled Nurses 		Deleted Joan 02/05/26 09:28 PM
submitted the form 		01/31/2026
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS 		03/02/2026 Mon
HHRG Report 05/13/2026
ROC 		BOTHA, SUSAN
MRN: 900011043 		11/30/-0001
Discharged Date 		Jenny A.
Skilled Nurses 		Pending Pending
ROC 		Jenny 05/30/26 05:51 PM
submitted the form 		05/03/2026
SUMMERLIN HOSPITAL MEDICAL CENTER 		06/11/2026 Thu
HHRG Report 05/14/2026
ROC 		PICKARD, ALECIA
MRN: 900004280 		06/21/26-06/25/26 Brittany K.
Skilled Nurses 		Submitted Completed
ROC 		Brittany 05/24/26 08:21 PM
submitted the form 		05/08/2026
SOUTHERN HILLS HOSPITAL & MEDICAL CENTER 		06/12/2026 Fri
HHRG Report 05/20/2026
ROC 		RODRIGUES, WILLIAM
MRN: 900010934 		06/25/26-06/29/26 Brittany K.
Skilled Nurses 		Submitted Completed
ROC 		Brittany 05/25/26 06:34 PM
submitted the form 		05/16/2026
ST. ROSE DOMINICAN HOSPITAL, SIENA CAMPUS 		06/18/2026 Thu
HHRG Report 05/20/2026
ROC 		STORY, JOYCE
MRN: 900002325 		06/03/26-06/07/26 Soline L.
Skilled Nurses 		Submitted Completed
ROC 		Soline 06/04/26 03:00 AM
submitted the form 		05/17/2026
CENTENNIAL HILLS HOSPITAL MEDICAL CENTER 		06/18/2026 Thu
HHRG Report 05/30/2026
ROC 		BOTHA, SUSAN
MRN: 900011043 		11/30/-0001
Discharged Date 		MJ O.
Skilled Nurses 		Submitted Completed
ROC 		MJ 05/30/26 08:42 PM
submitted the form 		05/24/2026
SUMMERLIN HOSPITAL MEDICAL CENTER 		06/28/2026 Sun