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
▼ 261589 John Knox Village 600 Nw Pryor Road, Unit 300 Lees Summit MO 7 (Kansas City) 08/17/2022 State Agency I89211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0544 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
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0652 Services Standard
L0684 Discharge Or Transfer Of Care Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0729 Patient Areas Standard
L0774 Hospice Plan Of Care Standard
▼ 261589 John Knox Village 600 Nw Pryor Road, Unit 300 Lees Summit MO 7 (Kansas City) 06/25/2025 State Agency 667DE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0545 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
L0678 Content Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0781 Coordination Of Services Standard
L0795 Criminal Background Checks Standard
▼ 261591 Bethesda Services, Inc. 12101 Woodcrest Executive Dr, Ste 201 Saint Louis MO 7 (Kansas City) 06/23/2022 State Agency 83M411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0714 Inpatient Care Provided Under Arrangements Standard
L0723 Twenty-Four Hour Nursing Services Standard
L0729 Patient Areas Standard
L0774 Hospice Plan Of Care Standard
▼ 261591 Bethesda Services, Inc. 12101 Woodcrest Executive Dr, Ste 201 Saint Louis MO 7 (Kansas City) 03/13/2025 State Agency 65A38-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ 261591 Bethesda Services, Inc. 12101 Woodcrest Executive Dr, Ste 201 Saint Louis MO 7 (Kansas City) 04/22/2025 State Agency 65A38-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ 261593 Community Hospices Of America, Llc 2216 E 32nd Street, Suite 201 Joplin MO 7 (Kansas City) 11/10/2021 State Agency 57YN11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
▼ 261593 Community Hospices Of America, Llc 2216 E 32nd Street, Suite 201 Joplin MO 7 (Kansas City) 01/12/2022 State Agency 57YN12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
▼ 261593 Community Hospices Of America, Llc 2216 E 32nd Street, Suite 201 Joplin MO 7 (Kansas City) 08/18/2022 State Agency 7UL211 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0651 Governing Body And Administrator Standard
▼ 261593 Community Hospices Of America, Llc 2216 E. 32nd St., Ste 201 Joplin MO 7 (Kansas City) 12/22/2022 CHAP DEC2022_VMU_884137_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0672 Content Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 261593 Community Hospices Of America, Llc 2216 E 32nd Street, Suite 201 Joplin MO 7 (Kansas City) 02/05/2025 State Agency 653EF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard