S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data are available from October 2021 through March 2026.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific Hospice deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN

Use these filters if you want to search by a specific CMS Certification Number (CCN).

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
Pending Blue Heights Hospice, Llc 3925 N. Martin L King Blvd, Ste. 124 North Las Vegas NV 9 (San Francisco) 11/10/2022 NOV0822_FOT_885397_H Initial
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0025 Arrangement With Other Facilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0537 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0676 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0690 Ordering Of Drugs Standard
Pending Enloe Medical Center 1531 Esplanade Chico CA 9 (San Francisco) 11/11/2022 441843075 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
L0663 Training Standard
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0734 Sanitary Environment Standard
Pending The Methodist Medical Center Of Illinois 221 Northeast Glen Oak Avenue Peoria IL 5 (Chicago) 11/11/2022 442406515 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0661 Training Standard
L0682 Discharge Or Transfer Of Care Standard
L0796 Criminal Background Checks Standard
Pending Black River Health, Inc. 711 West Adams Black River Falls WI 5 (Chicago) 11/16/2022 444979355 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
Pending Community Health Center Of Branch County 274 East Chicago Street Coldwater MI 5 (Chicago) 12/02/2022 441524725 Initial
Deficiency Tag Deficiency Description Tag Type
L0795 Criminal Background Checks Standard
Pending Mayo Clinic Health System - Northwest Wisconsin Region, Inc 1221 Whipple Street Eau Claire WI 5 (Chicago) 12/09/2022 441802955 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0651 Governing Body And Administrator Condition
L0671 Clinical Records Condition
L0674 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0784 Personnel Qualification Standard
Pending Amazingly Grace Hospice Inc 7322 Southwest Fwy, Suite 645 Room G Houston TX 6 (Dallas) 12/15/2022 DEC1322_PXW_8548518_ Initial
Deficiency Tag Deficiency Description Tag Type
L0587 Core Services Condition
L0615 Competency Evaluation Standard
L0673 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0763 Written Agreement Standard
Pending Loving Hands Hospice, Llc 363 West 6th Street, Suite 6 San Bernardino CA 9 (San Francisco) 12/15/2022 445139475 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0032 Primary/Alternate Means For Communication Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
L0502 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Condition
L0531 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0565 Program Data Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0580 Control Standard
L0581 Control Standard
L0581 Control Condition
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Condition
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0662 Training Standard
L0679 Authentication Standard
L0784 Personnel Qualification Standard
Pending Bristol Hospice, L.L.C. 135 South 336th St. Federal Way WA 10 (Seattle) 01/20/2023 JAN1823_WZH_8547241_ Initial
Deficiency Tag Deficiency Description Tag Type
L0548 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
Pending Transitions Ohio Llc 3232 Executive Drive Suite 101 Toledo OH 5 (Chicago) 02/09/2023 FEB0723_AKR_8548435_ Initial
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard