S&C QCOR Hospice 2567s
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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
▼ 161581 Trinity Home Health Services 417 East 1st Street Monticello IA 7 (Kansas City) 06/05/2024 State Agency 62FED-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0629 Supervision Of Hospice Aides Standard
L0655 Professional Management Responsibility Standard
L0781 Coordination Of Services Standard
▼ 161581 Above And Beyond Home Health And Hospice Care 417 E. 1st Street Monticello IA 7 (Kansas City) 06/21/2024 TJC 452512635 Initial
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0713 Inpatient Care Provided Under Arrangements Standard
▼ 161582 Iowa Hospice, Llc 831 North Griffith Road Carroll IA 7 (Kansas City) 02/03/2022 ACHC 40069 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0544 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
L0773 Hospice Plan Of Care Standard
▼ 161582 Iowa Hospice, Llc 831 North Griffith Road Carroll IA 7 (Kansas City) 01/17/2025 ACHC 1253395 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
▼ 161583 St Croix Hospice Llc, Ankeny, Ia 1555 Se Delaware Avenue, Suite Q Ankeny IA 7 (Kansas City) 10/28/2021 CHAP OCT2621_GMY_870804_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
▼ 161583 St. Croix Hospice, Llc 1555 Se Delaware Suite Q Ankeny IA 7 (Kansas City) 03/29/2023 State Agency 5F4E8-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0554 Coordination Of Services Standard
▼ 161583 St. Croix Hospice, Llc 1555 Se Delaware Suite Q Ankeny IA 7 (Kansas City) 05/31/2023 State Agency 5F4E8-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0554 Coordination Of Services Standard
▼ 161583 St. Croix Hospice, Llc 1555 Se Delaware Suite Q Ankeny IA 7 (Kansas City) 07/17/2023 State Agency 602E9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0690 Ordering Of Drugs Standard
L0694 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161583 St. Croix Hospice, Llc 1555 Se Delaware Suite Q Ankeny IA 7 (Kansas City) 09/07/2023 State Agency 602E9-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0690 Ordering Of Drugs Standard
L0694 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161583 St. Croix Hospice, Llc 1555 Se Delaware Suite Q Ankeny IA 7 (Kansas City) 04/11/2024 State Agency 62993-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0533 Update Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard