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
151591 Day By Day Hospice Inc 2130 W Sycamore, Suite 240 A Kokomo IN 5 (Chicago) 08/30/2024 State Agency 636AD-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0517 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 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
L0548 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0577 Infection Control Condition
L0579 Prevention Standard
L0582 Education Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0662 Training Standard
L0678 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0782 Orientation And Training Of Staff Standard
151591 Day By Day Hospice Inc 2130 W Sycamore, Suite 240 A Kokomo IN 5 (Chicago) 08/30/2024 State Agency 64132-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
151591 Day By Day Hospice, Inc. 7030 Pointe Inverness Way, Suite 230 Fort Wayne IN 5 (Chicago) 02/03/2025 ACHC 1266596 Complaint
Deficiency Tag Deficiency Description Tag Type
L0776 Hospice Plan Of Care Standard
151592 Vistacare Usa, Llc 4134 S. 7th Street Terre Haute IN 5 (Chicago) 10/21/2022 ACHC 44336 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 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
L0569 Program Activities Standard
L0677 Content Standard
L0678 Content Standard
L0697 Label Dispose Storage Drugs Standard
L0773 Hospice Plan Of Care Standard
151592 Vistacare Usa Llc 4134 South 7th Street Terre Haute IN 5 (Chicago) 02/09/2023 State Agency 5ED7F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0548 Content Of Plan Of Care Standard
L0558 Coordination Of Services Standard
151592 Vistacare Usa Llc 4134 South 7th Street Terre Haute IN 5 (Chicago) 02/12/2024 State Agency 6214A-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0007 Ep Program Patient Population Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0553 Review Of The Plan Of Care Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0615 Competency Evaluation Standard
L0632 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0782 Orientation And Training Of Staff Standard
L0795 Criminal Background Checks Standard
151592 Vistacare Usa Llc 4134 South 7th Street Terre Haute IN 5 (Chicago) 03/19/2024 State Agency 6214A-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0007 Ep Program Patient Population Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0553 Review Of The Plan Of Care Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0615 Competency Evaluation Standard
L0632 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0782 Orientation And Training Of Staff Standard
L0795 Criminal Background Checks Standard
151592 Vistacare Usa Llc 4134 South 7th Street Terre Haute IN 5 (Chicago) 04/12/2024 State Agency 6214A-H3 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0033 Methods For Sharing Information Standard
L0564 Program Data Standard
151592 Vistacare Usa, Llc 4134 S. 7th Street Terre Haute IN 5 (Chicago) 10/30/2025 ACHC 1281589 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update 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
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0652 Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
151592 Vistacare Usa, Llc 4134 S. 7th Street Terre Haute IN 5 (Chicago) 12/22/2025 ACHC 1280277 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0545 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
L0668 Recertification Of The Terminal Illness Standard
L0680 Protection Of Information Standard