S&C QCOR Hospice 2567s
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Hospice 2567s
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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
▼ 141540 Memorial Medical Center 701 North First Street Springfield IL 5 (Chicago) 11/19/2021 TJC 438015345 Initial
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0512 Rights Of The Patient Standard
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0531 Content Of Comprehensive Assessment Standard
L0543 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
L0557 Coordination Of Services Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0674 Content Standard
L0678 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ 141540 Memorial Medical Center 701 North First Street Springfield IL 5 (Chicago) 10/18/2024 TJC 452443545 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
▼ 141541 Vitas Healthcare Corporation Of Illinois 8525 W. 183rd St., Ste M Tinley Park IL 5 (Chicago) 04/12/2024 CHAP APR0924_AXX_8549736_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0644 Role Standard
L0678 Content Standard
▼ 141543 Waukegan Hospice Llc 36100 N Brookside Dr, Ste 101 Gurnee IL 5 (Chicago) 08/15/2025 State Agency 1D1E66-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
▼ 141551 Unity Hospice Of Chicagoland, Llc 600 W Cermak Rd Suite 3d Chicago IL 5 (Chicago) 02/10/2022 State Agency MRMA11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0798 Federal, State, Local Laws & Regulations Standard
▼ 141551 Unity Hospice Of Chicagoland, Llc 600 W Cermak Rd Suite 3d Chicago IL 5 (Chicago) 04/15/2024 State Agency 628EC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0693 Label Dispose Storage Drugs Standard
L0700 Label Dispose Storage Drugs Standard
▼ 141551 Unity Hospice Of Chicagoland, Llc 600 W Cermak Rd Suite 3d Chicago IL 5 (Chicago) 02/21/2025 State Agency 65518-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0549 Content Of Plan Of Care Standard
L0653 Services Standard
▼ 141552 Hospice Of The Rock River Valley 2706 Avenue E Sterling IL 5 (Chicago) 06/17/2022 State Agency YK6G11 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0539 Approach To Service Delivery Standard
L0596 Counseling Services Standard
▼ 141552 Hospice Of The Rock River Valley 2706 Avenue E Sterling IL 5 (Chicago) 07/30/2025 State Agency 66483-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0013 Development Of Ep Policies And Procedures Standard
E0030 Names And Contact Information Standard
L0000 Initial Comments Memo
L0824 Physical Environment Standard
L0827 Fire Protection Standard
▼ 141552 Hospice Of The Rock River Valley 2706 Avenue E Sterling IL 5 (Chicago) 07/30/2025 State Agency 66483-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0133 Multiple Occupancies - Construction Type Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard