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
361521 Hospice Of Genesis Healthcare 713 Forest Avenue Zanesville OH 5 (Chicago) 05/22/2024 State Agency 63176-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
361521 Hospice Of Genesis Healthcare 713 Forest Avenue Zanesville OH 5 (Chicago) 05/23/2024 State Agency 63176-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0629 Supervision Of Hospice Aides Standard
361521 Hospice Of Genesis Healthcare 713 Forest Avenue Zanesville OH 5 (Chicago) 10/03/2024 State Agency 63176-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0629 Supervision Of Hospice Aides Standard
361521 Hospice Of Genesis Healthcare 713 Forest Avenue Zanesville OH 5 (Chicago) 10/03/2024 State Agency 63176-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
361522 Valley Hospice, Inc. 10686 State Route 150 Rayland OH 5 (Chicago) 03/11/2022 TJC 438070175 Initial
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
361522 Valley Hospice Inc 10686 State Route 150 Rayland OH 5 (Chicago) 01/09/2025 CHAP JAN0725_AZX_8550432_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0827 N/A Standard
361525 Hospice Of Central Ohio 2269 Cherry Valley Road Newark OH 5 (Chicago) 02/10/2022 TJC 437216695 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0529 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
361529 Hospice Of Darke County, Inc 1350 North Broadway Greenville OH 5 (Chicago) 11/04/2021 State Agency 2BK212 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0719 Hospices That Provide Inpatient Care Directly Condition
L0728 Fire Protection Standard
361529 Hospice Of Darke County, Inc 1350 North Broadway Greenville OH 5 (Chicago) 11/04/2021 State Agency 2BK222 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0321 Hazardous Areas - Enclosure Standard
K0346 Fire Alarm System - Out Of Service Standard
K0354 Sprinkler System - Out Of Service Standard
K0372 Subdivision Of Building Spaces ? Smoke Barrier Construction Standard
K0511 Utilities - Gas And Electric Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0924 Electrical Equipment ? Wet Procedure Locations Standard
361530 Southwest General Health Center 18659 Drake Road Strongsville OH 5 (Chicago) 02/27/2025 State Agency 65688-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0820 Hospices That Provide Inpatient Care Directly Condition
L0824 Physical Environment Standard