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
▼ 161602 St Croix Hospice, Llc 1920 Rue Street Suite 3 Co Bluffs IA 7 (Kansas City) 12/08/2021 State Agency QC4X11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0537 Idg, Care Planning, Coordination Of Services Standard
L0548 Content Of Plan Of Care Standard
▼ 161602 St Croix Hospice Llc, Council Bluffs, Ia 1920 Rue St. , Suite 3 Council Bluffs IA 7 (Kansas City) 09/26/2024 CHAP SEP2324_APW_870802_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0591 Nursing Services Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
▼ 161602 St Croix Hospice, Llc 1920 Rue Street Suite 3 Co Bluffs IA 7 (Kansas City) 12/30/2025 State Agency 1DC9D0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0550 Content Of Plan Of Care Standard
▼ 161604 St. Croix Hospice Llc 101 Elkader Street Strawberry Point IA 7 (Kansas City) 12/07/2021 State Agency FZ7711 Complaint, Other-Fed
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0550 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0613 Hospice Aide Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0670 Clinical Records Condition
L0671 Clinical Records Standard
L0778 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 161604 St. Croix Hospice Llc 101 Elkader Street Strawberry Point IA 7 (Kansas City) 02/16/2022 State Agency FZ7712 Complaint, Other-Fed
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0550 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0613 Hospice Aide Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0670 Clinical Records Condition
L0671 Clinical Records Standard
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0778 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 161604 St. Croix Hospice Llc 101 Elkader Street Strawberry Point IA 7 (Kansas City) 04/12/2022 State Agency FZ7713 Complaint, Other-Fed
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0778 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 161604 St Croix Hospice Llc 101 Elkader St Strawberry Point IA 7 (Kansas City) 12/07/2022 CHAP DEC0522_TIJ_870800_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0538 Idg, Care Planning, Coordination Of Services Standard
L0591 Nursing Services Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 161604 St Croix Hospice Llc 101 Elkader St Strawberry Point IA 7 (Kansas City) 10/10/2025 CHAP OCT0625_MRH_870800_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0647 Level Of Activity Standard
▼ 161605 St Croix Hospice Llc 302 N Grand Ave, Suite 5 Charles City IA 7 (Kansas City) 05/05/2023 CHAP MAY0223_LUC_863757_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 161605 St. Croix Hospice, Llc 302 N Grand Ave Suite 5 Charles City IA 7 (Kansas City) 10/15/2024 State Agency 6460E-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