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
▼ 151638 Tranquility Hospice And Palliative Care Inc 9515 Indianapolis Blvd Ste 6f Highland IN 5 (Chicago) 05/12/2023 State Agency 5F763-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0517 Rights Of The Patient Standard
L0556 Coordination Of Services Standard
L0628 Hospice Aide Assignments And Duties Standard
L0652 Services Standard
▼ 151639 Adaptive Hospice Llc 8844 Ruffian Lane, Suite B Newburgh IN 5 (Chicago) 05/31/2024 CHAP MAY2824_CIN_8548911_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0678 Content Standard
L0774 Hospice Plan Of Care Standard
▼ 151640 Echo Hospice Of Indiana, Llc 9008 Cline Ave, Unit 7 Highland IN 5 (Chicago) 11/30/2021 ACHC 39740 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
▼ 151640 Echo Hospice Of Indiana, Llc 9008 Cline Avenue, Unit 7 Highland IN 5 (Chicago) 11/22/2023 State Agency 617FE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0562 Program Scope Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0784 Personnel Qualification Standard
▼ 151640 Echo Hospice Of Indiana, Llc 9008 Cline Avenue, Unit 7 Highland IN 5 (Chicago) 01/18/2024 State Agency 617FE-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0562 Program Scope Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0784 Personnel Qualification Standard
▼ 151641 Caring Cove Hospice Llc 3120 N Home St Suite B Mishawaka IN 5 (Chicago) 09/26/2024 ACHC 1243463 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 151642 Intrepid Of The Crescent Valley, Inc. 1318 N. Green River Road, Ste B Evansville IN 5 (Chicago) 02/09/2022 ACHC 40860 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
▼ 151643 Haven Hospice In, Llc 1114 S Halleck St Demotte IN 5 (Chicago) 02/17/2022 ACHC 41664 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0569 Program Activities Standard
▼ 151644 Interim Healthcare Hospice Of Indiana Inc 5140 Charlestown Road, Unit 2 New Albany IN 5 (Chicago) 12/19/2024 CHAP DEC1624_WVH_8547052_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
▼ 151645 Affinity Care Of Indiana Llc 3935 Eagle Creek Parkway, Ste G Indianapolis IN 5 (Chicago) 02/14/2025 CHAP FEB1125_EST_8547435_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
L0774 Hospice Plan Of Care Standard