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
▼ 161517 Lee County Auditor 5001 Avenue O Fort Madison IA 7 (Kansas City) 06/01/2022 State Agency H75112 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0543 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
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0661 Training Standard
L0662 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0671 Clinical Records Standard
L0679 Authentication Standard
L0716 Inpatient Care Provided Under Arrangements Standard
L0781 Coordination Of Services Standard
▼ 161517 Lee County Auditor 5001 Avenue O Fort Madison IA 7 (Kansas City) 04/09/2025 State Agency 65655-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0617 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0715 Inpatient Care Provided Under Arrangements Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161517 Lee County Auditor 5001 Avenue O Fort Madison IA 7 (Kansas City) 05/21/2025 State Agency 65655-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0617 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0715 Inpatient Care Provided Under Arrangements Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161519 Sioux Center Community Hospital And Health Center 1400 7th Avenue Se Sioux Center IA 7 (Kansas City) 08/07/2023 State Agency 606A8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0613 Hospice Aide Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0661 Training Standard
L0663 Training Standard
L0695 Label Dispose Storage Drugs Standard
L0696 Label Dispose Storage Drugs Standard
L0796 Criminal Background Checks Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 06/27/2023 State Agency 601C9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 08/03/2023 State Agency 601C9-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 08/23/2023 State Agency 60A68-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0613 Hospice Aide Training Standard
L0629 Supervision Of Hospice Aides Standard
L0683 Discharge Or Transfer Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0688 Managing Drugs And Biologicals Standard
L0691 Dispensing Of Drugs And Biologicals Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 10/09/2023 State Agency 60A68-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0613 Hospice Aide Training Standard
L0629 Supervision Of Hospice Aides Standard
L0683 Discharge Or Transfer Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0688 Managing Drugs And Biologicals Standard
L0691 Dispensing Of Drugs And Biologicals Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 11/25/2025 State Agency 1D76A1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 161521 Palmer Lutheran Health Center, Inc 200 Jefferson Street West Union IA 7 (Kansas City) 04/25/2024 State Agency 62E7E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard