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
▼ 521555 Rainbow Hospice Care 147 W Rockwell St Jefferson WI 5 (Chicago) 09/16/2022 State Agency BLEI12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0724 Physical Environment Standard
L0728 Fire Protection Standard
▼ 521555 Rainbow Hospice Care 147 W Rockwell St Jefferson WI 5 (Chicago) 09/16/2022 State Agency BLEI22 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 521555 Rainbow Hospice Care 147 W Rockwell St Jefferson WI 5 (Chicago) 07/15/2025 State Agency 6665B-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0324 Cooking Facilities Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0511 Utilities - Gas And Electric Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
▼ 521555 Rainbow Hospice Care 147 W Rockwell St Jefferson WI 5 (Chicago) 07/15/2025 State Agency 6665B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0762 Professional Management Standard
L0820 Hospices That Provide Inpatient Care Directly Condition
▼ 521555 Rainbow Hospice Care 147 W Rockwell St Jefferson WI 5 (Chicago) 08/05/2025 State Agency 6665B-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0324 Cooking Facilities Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0511 Utilities - Gas And Electric Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
▼ 521555 Rainbow Hospice Care 147 W Rockwell St Jefferson WI 5 (Chicago) 08/05/2025 State Agency 6665B-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0762 Professional Management Standard
L0820 Hospices That Provide Inpatient Care Directly Condition
▼ 521556 Hospice Preferred Choice, Inc. 16655 W. Bluemound Rd., Suite 275 Brookfield WI 5 (Chicago) 09/08/2023 ACHC 1188268 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0683 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
L0795 Criminal Background Checks Standard
▼ 521558 Lakeview Medical Center Inc Of Rice Lake 1700 West Stout Street Rice Lake WI 5 (Chicago) 04/08/2022 TJC 438201455 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0523 Timeframe For Completion Of Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0565 Program Data Standard
L0625 Hospice Aide Assignments And Duties Standard
L0633 Supervision Of Hospice Aides Standard
L0661 Training Standard
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0690 Ordering Of Drugs Standard
L0795 Criminal Background Checks Standard
▼ 521558 Lakeview Medical Center Inc Of Rice Lake 1700 West Stout Street Rice Lake WI 5 (Chicago) 03/14/2025 TJC 454180145 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0524 Content Of Comprehensive Assessment Condition
L0529 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0546 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
L0557 Coordination Of Services Standard
L0564 Program Data Standard
L0564 Program Data Standard
L0580 Control Standard
L0620 In-Service Training Standard
L0629 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0651 Governing Body And Administrator Condition
L0674 Content Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 521558 Lakeview Medical Center Inc Of Rice Lake 1700 West Stout Street Rice Lake WI 5 (Chicago) 04/24/2025 TJC 457489135 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0553 Review Of The Plan Of Care Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard