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
▼ 281500 Chi National Home Care, Llc 7415 Cedar Street Omaha NE 7 (Kansas City) 12/01/2022 State Agency IS1E-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0211 Means Of Egress - General Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
▼ 281500 Chi National Home Care, Llc 7415 Cedar Street Omaha NE 7 (Kansas City) 02/27/2024 State Agency 625A1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0692 Administration Of Drugs And Biologicals Standard
▼ 281500 Chi National Home Care, Llc 7415 Cedar Street Omaha NE 7 (Kansas City) 09/10/2025 State Agency 1D5B5F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0824 Physical Environment Standard
L0826 Physical Plant And Equipment Standard
L0839 Meal Service And Menu Planning Standard
▼ 281502 Tabitha, Inc. 4720 Randolph Street Lincoln NE 7 (Kansas City) 12/29/2021 State Agency HKKZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0553 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 281502 Tabitha, Inc. 4720 Randolph Street Lincoln NE 7 (Kansas City) 11/26/2024 State Agency 64C81-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0579 Prevention Standard
▼ 281506 Vsl Vetter Home Health Care Of Gering Llc 1335 M Street Ste 100 Gering NE 7 (Kansas City) 02/21/2023 State Agency 5F12A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0690 Ordering Of Drugs Standard
▼ 281506 Vsl Vetter Home Health Care Of Gering Llc 1335 M Street Ste 100 Gering NE 7 (Kansas City) 04/05/2023 State Agency 5F12A-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0690 Ordering Of Drugs Standard
▼ 281507 Chi National Home Care, Llc 245 South 84, Suite 300 Lincoln NE 7 (Kansas City) 11/12/2024 State Agency 64AC8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
▼ 281509 Faith Regional Health Services 2622 W Norfolk Ave, Ste 200 Norfolk NE 7 (Kansas City) 12/31/2025 State Agency 1DE17D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
L0000 Initial Comments Memo
L0677 Content Standard
L0701 Use & Maintenance Of Equipment & Supplies Standard
L0781 Coordination Of Services Standard
▼ 281511 Methodist Fremont Health 450 East 23rd Street Fremont NE 7 (Kansas City) 04/29/2022 TJC 437662515 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0529 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Condition
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard