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
151628 Life's Journey Of Avon Llc 1620 Hawthorne Dr Plainfield IN 5 (Chicago) 08/28/2024 State Agency 63EE1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0674 Content Standard
151628 Life's Journey Of Avon, Llc 1620 Hawthorne Dr Plainfield IN 5 (Chicago) 09/26/2024 ACHC 1245079 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0504 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient 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
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
L0555 Coordination Of Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0674 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0695 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
L0773 Hospice Plan Of Care Standard
L0788 Personnel Qualification Standard
L0789 Personnel Qualification Standard
L0791 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0827 N/A Standard
L0834 N/A Standard
151628 Life's Journey Of Avon Llc 1620 Hawthorne Dr Plainfield IN 5 (Chicago) 07/08/2025 State Agency 66781-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0826 Physical Plant And Equipment Standard
151629 Comfort 1 Hospice Llc 118 W Edison Rd Suite 200 Mishawaka IN 5 (Chicago) 11/03/2021 ACHC 37336 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0518 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0663 Training Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0697 Label Dispose Storage Drugs Standard
L0712 Inpatient Care Provided Under Arrangements Standard
L0772 Written Agreement Standard
151629 Comfort 1 Hospice, Llc 118 W Edison Road, Suite 200 Mishawaka IN 5 (Chicago) 05/16/2022 State Agency D6N411 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0513 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0558 Coordination Of Services Standard
L0601 Furnishing Of Non-Core Services Condition
L0602 Furnishing Of Non-Core Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0677 Content Standard
L0693 Label Dispose Storage Drugs Standard
L0694 Label Dispose Storage Drugs Standard
L0702 Use & Maintenance Of Equipment & Supplies Standard
L0704 Short-Term Inpatient Care Condition
L0705 Short-Term Inpatient Care Standard
L0763 Written Agreement Standard
151629 Comfort 1 Hospice, Llc 118 W Edison Road, Suite 200 Mishawaka IN 5 (Chicago) 08/19/2022 State Agency D6N412 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0513 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0537 Idg, Care Planning, Coordination Of Services Standard
L0551 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0558 Coordination Of Services Standard
L0579 Prevention Standard
L0601 Furnishing Of Non-Core Services Condition
L0602 Furnishing Of Non-Core Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0652 Services Standard
L0677 Content Standard
L0693 Label Dispose Storage Drugs Standard
L0694 Label Dispose Storage Drugs Standard
L0702 Use & Maintenance Of Equipment & Supplies Standard
L0704 Short-Term Inpatient Care Condition
L0705 Short-Term Inpatient Care Standard
L0763 Written Agreement Standard
151629 Comfort 1 Hospice Llc 118 W Edison Rd Suite 200 Mishawaka IN 5 (Chicago) 10/10/2024 ACHC 1246783 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0647 Level Of Activity Standard
L0676 Content Standard
151630 Brighton Hospice Indiana, Llc 280 E. 96th St, Suite 350 Indianapolis IN 5 (Chicago) 12/12/2025 CHAP DEC0925_WCC_884844_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
151631 Eleos, Llc 4432 Ardmore Ave, Unit B Fort Wayne IN 5 (Chicago) 06/01/2023 ACHC 1281766 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
L0626 Hospice Aide Assignments And Duties Standard
151632 Heart To Heart Hospice Of Northwest Indiana, Llc 402 Wall Street, Suite 12 Valparaiso IN 5 (Chicago) 03/14/2023 State Agency 5F401-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0557 Coordination Of Services Standard
L0580 Control Standard
L0651 Governing Body And Administrator Standard
L0900 Infection Control Standard