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
▼ 511526 Valley Hospice, Inc. 308 Mount St. Joseph Road Wheeling WV 3 (Philadelphia) 02/25/2022 TJC 438070545 Initial
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0682 Discharge Or Transfer Of Care Standard
L0728 Fire Protection Standard
▼ 511526 Valley Hospice, Inc. 308 Mount St. Joseph Road Wheeling WV 3 (Philadelphia) 01/09/2025 CHAP JAN0725_SJE_8550619_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0827 N/A Standard
L0828 N/A Standard
L0838 N/A Standard
▼ 521502 Hospice Alliance, Inc 10220 Prairie Ridge Blvd Pleasant Prairie WI 5 (Chicago) 09/22/2022 TJC 439714435 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0596 Counseling Services Standard
L0651 Governing Body And Administrator Condition
L0725 Safety Management Standard
▼ 521502 Hospice Alliance, Inc 10220 Prairie Ridge Blvd Pleasant Prairie WI 5 (Chicago) 09/19/2025 TJC 455818085 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0667 Initial Certification Of Terminal Illness Standard
L0678 Content Standard
L0827 N/A Standard
L0828 N/A Standard
▼ 521503 Unity Hospice 2366 Oak Ridge Circle De Pere WI 5 (Chicago) 02/07/2023 State Agency 5EAA2-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
▼ 521503 Unity Hospice 2366 Oak Ridge Circle De Pere WI 5 (Chicago) 02/08/2023 State Agency 5EAA2-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0724 Physical Environment Standard
L0728 Fire Protection Standard
L0774 Hospice Plan Of Care Standard
▼ 521503 Unity Hospice 2366 Oak Ridge Circle De Pere WI 5 (Chicago) 03/24/2023 State Agency 5EAA2-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0724 Physical Environment Standard
L0728 Fire Protection Standard
L0774 Hospice Plan Of Care Standard
▼ 521503 Unity Hospice 2366 Oak Ridge Circle De Pere WI 5 (Chicago) 03/24/2023 State Agency 5EAA2-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
▼ 521504 Thedacare At Home 3000 East College Avenue, Suite A Appleton WI 5 (Chicago) 06/30/2023 TJC 446744245 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0579 Prevention Standard
L0596 Counseling Services Standard
L0663 Training Standard
L0716 Inpatient Care Provided Under Arrangements Standard
L0736 Meal Service And Menu Planning Standard
L0795 Criminal Background Checks Standard
▼ 521504 Thedacare At Home 3000 East College Avenue, Suite A Appleton WI 5 (Chicago) 08/23/2023 TJC 449047265 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition