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
▼ 161505 Iowa River Hospice 502 Plaza Heights Road Marshalltown IA 7 (Kansas City) 06/26/2024 State Agency 63148-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0632 Supervision Of Hospice Aides Standard
L0633 Supervision Of Hospice Aides Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0697 Label Dispose Storage Drugs Standard
L0782 Orientation And Training Of Staff Standard
▼ 161505 Iowa River Hospice 502 Plaza Heights Road Marshalltown IA 7 (Kansas City) 07/02/2024 State Agency 63148-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0321 Hazardous Areas - Enclosure Standard
K0324 Cooking Facilities Standard
K0347 Smoke Detection Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0363 Corridor - Doors Standard
K0712 Fire Drills Standard
▼ 161505 Iowa River Hospice 502 Plaza Heights Road Marshalltown IA 7 (Kansas City) 08/06/2024 State Agency 63148-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0321 Hazardous Areas - Enclosure Standard
K0324 Cooking Facilities Standard
K0347 Smoke Detection Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0363 Corridor - Doors Standard
K0712 Fire Drills Standard
▼ 161506 Trinity Home Health Services 500 Sw 7th Street Des Moines IA 7 (Kansas City) 03/17/2023 ACHC 1166430 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content 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
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
L0569 Program Activities Standard
L0626 Hospice Aide Assignments And Duties Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0695 Label Dispose Storage Drugs Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0728 Fire Protection Standard
L0754 Restraint Or Seclusion Staff Training Reqmts Standard
L0755 Restraint Or Seclusion Staff Training Reqmts Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0796 Criminal Background Checks Standard
▼ 161506 Trinity Home Health Services 500 Sw 7th St Ste 104 Des Moines IA 7 (Kansas City) 08/07/2025 State Agency 1D202F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 161507 Iowa City Hospice, Inc 1526 Sycamore Street Iowa City IA 7 (Kansas City) 01/31/2022 State Agency IP0J11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0554 Coordination Of Services Standard
▼ 161507 Iowa City Hospice, Inc 1526 Sycamore Street Iowa City IA 7 (Kansas City) 09/13/2023 State Agency 60E0A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
▼ 161507 Iowa City Hospice, Inc 1526 Sycamore Street Iowa City IA 7 (Kansas City) 02/28/2024 State Agency 621C6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0613 Hospice Aide Training Standard
L0679 Authentication Standard
L0696 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
▼ 161508 Mary Greeley Medical Center 1111 Duff Ave Ames IA 7 (Kansas City) 10/27/2022 State Agency 5DD35-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
▼ 161508 Mary Greeley Medical Center 1111 Duff Ave Ames IA 7 (Kansas City) 03/20/2024 State Agency 62711-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0613 Hospice Aide Training Standard
L0655 Professional Management Responsibility Standard
L0678 Content Standard
L0839 Meal Service And Menu Planning Standard