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. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
141530 Ssm Health Businesses 1501 Mcpherson Avenue Mount Vernon IL 5 (Chicago) 01/26/2023 State Agency 5EAA5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0674 Content Standard
L0694 Label Dispose Storage Drugs Standard
141530 Ssm Health Businesses 1501 Mcpherson Avenue Mount Vernon IL 5 (Chicago) 02/08/2023 State Agency 5EAA5-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0674 Content Standard
L0694 Label Dispose Storage Drugs Standard
141530 Ssm Health At Home Home Health - Illinois 1501 Mcpherson Avenue Mount Vernon IL 5 (Chicago) 02/23/2024 TJC 451633325 Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
141531 Vitas Healthcare Corporation Of Illinois 1040 4th Street Peru IL 5 (Chicago) 04/20/2023 State Agency 5F8AE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0591 Nursing Services Standard
141531 Vitas Healthcare Corporation Of Illinois 1040 4th Street Peru IL 5 (Chicago) 04/21/2023 State Agency 5F5E6-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0591 Nursing Services Standard
141531 Vitas Healthcare Corporation Of Illinois 1040 4th Street Peru IL 5 (Chicago) 09/01/2023 State Agency 60AD9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0596 Counseling Services Standard
L0672 Content Standard
141531 Vitas Healthcare Corporation Of Illinois 1040 4th Street Peru IL 5 (Chicago) 07/25/2024 CHAP JUL2224_DPW_8549735_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
141535 Ucm Home Care One Ingalls Drive Harvey IL 5 (Chicago) 01/27/2022 State Agency J5HV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0596 Counseling Services Standard
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0798 Federal, State, Local Laws & Regulations Standard
141535 Ucm Home Care One Ingalls Drive Harvey IL 5 (Chicago) 01/24/2025 State Agency 64F85-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0030 Names And Contact Information Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0565 Program Data Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0682 Discharge Or Transfer Of Care Standard
141539 Joliet Area Community Hospice Inc 250 Water Stone Circle Joliet IL 5 (Chicago) 11/03/2023 State Agency 6127A-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0513 Rights Of The Patient Standard
L0543 Plan Of Care Standard
L0554 Coordination Of Services Standard
L0591 Nursing Services Standard
L0684 Discharge Or Transfer Of Care Standard