S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
171506 Midland Care Connection, Inc. 200 Sw Frazier Circle Topeka KS 7 (Kansas City) 08/17/2022 State Agency 7KHL11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
171509 Saint Luke's Hospice Of Leavenworth Llc 1001 6th Ave., Suite 125 Leavenworth KS 7 (Kansas City) 01/11/2024 State Agency 61E1F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
L0000 Initial Comments Memo
L0629 Supervision Of Hospice Aides Standard
171509 Saint Luke's Hospice Of Leavenworth Llc 1001 6th Ave., Suite 125 Leavenworth KS 7 (Kansas City) 03/11/2024 State Agency 61E1F-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
L0000 Initial Comments Memo
L0629 Supervision Of Hospice Aides Standard
171511 Douglas County Visiting Nurses Association Inc 200 Maine Ste C (3rd Floor) Lawrence KS 7 (Kansas City) 11/17/2023 State Agency 617F4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
171511 Douglas County Visiting Nurses Association Inc 200 Maine Ste C (3rd Floor) Lawrence KS 7 (Kansas City) 01/09/2024 State Agency 617F4-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
171512 Ukhs Great Bend, Llc 3421 Forest Ave Great Bend KS 7 (Kansas City) 06/14/2024 State Agency 63528-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0672 Content Standard
L0795 Criminal Background Checks Standard
171512 Ukhs Great Bend, Llc 3421 Forest Ave Great Bend KS 7 (Kansas City) 09/04/2024 State Agency 63528-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0672 Content Standard
L0795 Criminal Background Checks Standard
171515 Hospice Services Of Northwest Kansas Inc 424 Eighth Street Phillipsburg KS 7 (Kansas City) 11/10/2023 State Agency 616DB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0591 Nursing Services Standard
L0715 Inpatient Care Provided Under Arrangements Standard
171515 Hospice Services Of Northwest Kansas Inc 424 Eighth Street Phillipsburg KS 7 (Kansas City) 07/04/2024 State Agency 616DB-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0591 Nursing Services Standard
L0715 Inpatient Care Provided Under Arrangements Standard
171515 Hospice Services Of Northwest Kansas Inc 424 Eighth Street Phillipsburg KS 7 (Kansas City) 08/08/2024 State Agency 616DB-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0039 Ep Testing Requirements Standard