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
▼ 361501 Hospice Of Dayton Inc 324 Wilmington Avenue Dayton OH 5 (Chicago) 12/18/2025 State Agency 1DD77F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0820 Hospices That Provide Inpatient Care Directly Condition
L0825 Physical Environment Standard
▼ 361502 Hospice Of Northwest Ohio 30000 East River Road Perrysburg OH 5 (Chicago) 05/12/2023 TJC 443086115 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0579 Prevention Standard
L0684 Discharge Or Transfer Of Care Standard
L0728 Fire Protection Standard
▼ 361503 Hospice Of The Western Reserve, Inc 17876 St Clair Avenue Cleveland OH 5 (Chicago) 11/03/2022 State Agency 5E1F9-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0000 Initial Comments Memo
K0000 Initial Comments Memo
K0222 Egress Doors Standard
▼ 361503 Hospice Of The Western Reserve, Inc 17876 St Clair Avenue Cleveland OH 5 (Chicago) 11/03/2022 State Agency 5E1F9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0719 Hospices That Provide Inpatient Care Directly Condition
L0728 Fire Protection Standard
▼ 361503 Hospice Of The Western Reserve, Inc 17876 St Clair Avenue Cleveland OH 5 (Chicago) 12/19/2022 State Agency 5E1F9-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0222 Egress Doors Standard
▼ 361503 Hospice Of The Western Reserve, Inc 17876 St Clair Avenue Cleveland OH 5 (Chicago) 12/19/2022 State Agency 5E1F9-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0719 Hospices That Provide Inpatient Care Directly Condition
L0728 Fire Protection Standard
▼ 361505 Blanchard Valley Home Care Services, Llc 15100 Birchaven Lane Findlay OH 5 (Chicago) 02/10/2022 TJC 436229365 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0671 Clinical Records Standard
▼ 361505 Blanchard Valley Home Care Services, Llc 15100 Birchaven Lane Findlay OH 5 (Chicago) 02/07/2025 TJC 453529255 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0529 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0781 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 361507 Community Health Professionals, Inc. 1159 Westwood Drive Van Wert OH 5 (Chicago) 01/26/2024 CHAP JAN2224_TBW_724_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
▼ 361511 Hospice Of Guernsey, Inc. 9711 East Pike Rd. Cambridge OH 5 (Chicago) 08/04/2022 CHAP AUG0222_CWT_870608_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard