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
▼ 141636 Southerncare, Inc. 333 Salem Place, Suite 165 Fairview Heights IL 5 (Chicago) 11/07/2025 ACHC 66248 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0516 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0569 Program Activities Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0697 Label Dispose Storage Drugs Standard
L0781 Coordination Of Services Standard
L0796 Criminal Background Checks Standard
▼ 141636 Southerncare, Inc. 333 Salem Place, Suite 165 Fairview Heights IL 5 (Chicago) 12/30/2025 ACHC 67387 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0773 Hospice Plan Of Care Standard
▼ 141637 Bjc Hospice 2220 S State Route 157, Ste 300 Glen Carbon IL 5 (Chicago) 11/02/2023 State Agency 6129F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0582 Education Standard
▼ 141638 Gaffey Home Nursing & Hospice Inc. 3408 East 23rd Street Sterling IL 5 (Chicago) 04/13/2023 CHAP APR1123_XGC_502535_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 141639 Covenant Home Services 3755 E Main St, Ste 165 St Charles IL 5 (Chicago) 05/05/2023 CHAP MAY0223_SMU_502608_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0662 Training Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
▼ 141640 Good Samaritan Hospice 2101 James St. Lawrenceville IL 5 (Chicago) 07/14/2022 TJC 441176135 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 141640 Good Samaritan Hospice 2101 James St. Lawrenceville IL 5 (Chicago) 05/07/2025 TJC 455033285 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
▼ 141641 Comfort Plus Hospice Inc 7150 N University St. Peoria IL 5 (Chicago) 11/08/2022 CHAP NOV0822_CSR_502629_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0644 Role Standard
L0676 Content Standard
▼ 141641 Comfort Plus Hospice Inc 7150 N University St. Peoria IL 5 (Chicago) 07/26/2023 CHAP JUL2423_WJL_502629_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0598 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0676 Content Standard
▼ 141641 Comfort Plus Hospice Inc 7150 N University St. Peoria IL 5 (Chicago) 09/07/2023 CHAP SEP0623_PBJ_502629_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard