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
▼ 151632 Heart To Heart Hospice Of Northwest Indiana, Llc 402 Wall Street, Suite 12 Valparaiso IN 5 (Chicago) 03/16/2023 CHAP MAR1423_UJX_885206_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0579 Prevention Standard
L0673 Content Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0781 Coordination Of Services Standard
▼ 151632 Heart To Heart Hospice Of Northwest Indiana, Llc 402 Wall Street, Suite 12 Valparaiso IN 5 (Chicago) 09/08/2023 CHAP SEP0823_FQQ_885206_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 151633 Heart To Heart Hospice Of Evansville, Llc 610 E. Walnut Street, Suite A Evansville IN 5 (Chicago) 02/10/2023 CHAP FEB0723_POR_885209_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0538 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0754 Restraint Or Seclusion Staff Training Reqmts Standard
▼ 151633 Heart To Heart Hospice Of Evansville, Llc 610 E Walnut St, Suite A Evansville IN 5 (Chicago) 08/31/2023 State Agency 60E62-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0821 Staffing Standard
▼ 151633 Heart To Heart Hospice Of Evansville, Llc 610 E. Walnut Street, Suite A Evansville IN 5 (Chicago) 11/14/2025 CHAP NOV1125_XDF_885209_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0693 Label Dispose Storage Drugs Standard
L0826 N/A Standard
L0838 N/A Standard
L0839 N/A Standard
L0860 N/A Standard
▼ 151634 Guardian Angels Hospice Care, Llc 11621 Stellhorn Rd New Haven IN 5 (Chicago) 05/07/2025 ACHC 1264965 Initial
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0025 Arrangement With Other Facilities Standard
L0500 Patients Rights Condition
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0507 Exercise Of Rights/Respect For Proprty/Person Standard
L0513 Rights Of The Patient 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
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0673 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0697 Label Dispose Storage Drugs Standard
L0708 Inpatient Care For Respite Purposes Standard
L0783 Personnel Qualification Condition
L0789 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
▼ 151634 Guardian Angels Hospice Care, Llc 11621 Stellhorn Rd New Haven IN 5 (Chicago) 08/27/2025 ACHC 1272874 Initial
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
▼ 151635 Heart To Heart Hospice Of Northeast Indiana, Llc 5646 Coventry Lane Fort Wayne IN 5 (Chicago) 03/24/2023 CHAP MAR2123_GVB_884956_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
▼ 151637 Adaptive Hospice Llc 6325 Digital Way, Suite 130 Indianapolis IN 5 (Chicago) 03/14/2024 CHAP MAR1224_NXY_8549372_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
▼ 151638 Tranquility Hospice And Palliative Care, Inc. 9515 Indianapolis Blvd, Ste 6f Highland IN 5 (Chicago) 01/23/2023 CHAP JAN2323_OPH_8546848_ Complaint
Deficiency Tag Deficiency Description Tag Type
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard