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
▼ 151562 Vista Hospice Care Llc 1476 W 18th St Rochester IN 5 (Chicago) 05/15/2024 State Agency 62FBC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0530 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0548 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
L0577 Infection Control Condition
L0579 Prevention Standard
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0616 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 151562 Vista Hospice Care Llc 1476 W 18th St Rochester IN 5 (Chicago) 06/26/2024 State Agency 62FBC-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0530 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0548 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
L0577 Infection Control Condition
L0579 Prevention Standard
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0616 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 151563 Franciscan Health Lafayette 1501 Hartford Street, G525 Lafayette IN 5 (Chicago) 01/12/2023 CHAP JAN0923_ZWA_883088_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
▼ 151563 Franciscan Health Lafayette 1501 Hartford St, Suite G525 Lafayette IN 5 (Chicago) 01/22/2024 State Agency 61D33-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0583 Licensed Professional Services Condition
L0585 Licensed Professional Services Standard
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0711 Inpatient Care Provided Under Arrangements Standard
▼ 151563 Franciscan Health Lafayette 1501 Hartford St, Suite G525 Lafayette IN 5 (Chicago) 03/06/2024 State Agency 61D33-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0579 Prevention Standard
L0583 Licensed Professional Services Condition
L0585 Licensed Professional Services Standard
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0711 Inpatient Care Provided Under Arrangements Standard
▼ 151563 Franciscan Health Lafayette 1501 Hartford St, Suite G525 Lafayette IN 5 (Chicago) 04/18/2024 State Agency 61D33-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
L0548 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 151565 Lhcg Cxcvii, Llc 3101 North Green River Road, Suite 210 Evansville IN 5 (Chicago) 06/08/2022 State Agency VUE811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0578 Infection Control Standard
L0579 Prevention Standard
L0619 Competency Evaluation Standard
L0661 Training Standard
L0782 Orientation And Training Of Staff Standard
L0798 Federal, State, Local Laws & Regulations Standard
▼ 151572 Southerncare Inc 1907 South Liberty Drive Bloomington IN 5 (Chicago) 03/09/2023 State Agency 5F117-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0548 Content Of Plan Of Care Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0660 Hospice Multiple Locations Standard
L0679 Authentication Standard
L0733 Infection Control Standard
L0779 Coordination Of Services Standard
▼ 151572 Southerncare Inc 1907 South Liberty Drive Bloomington IN 5 (Chicago) 05/31/2023 State Agency 5F117-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0660 Hospice Multiple Locations Standard
L0679 Authentication Standard
L0733 Infection Control Standard
L0779 Coordination Of Services Standard
▼ 151572 Southerncare Inc 1907 South Liberty Drive Bloomington IN 5 (Chicago) 01/11/2024 State Agency 61DC3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0625 Hospice Aide Assignments And Duties Standard
L0663 Training Standard