S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

Time Interval

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Note: Hospice 2567s data begin starting October 2021.

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
141541 Vitas Healthcare Corporation Of Illinois 8525 W. 183rd St., Ste M Tinley Park IL 5 (Chicago) 04/12/2024 1236271 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0644 Role Standard
L0678 Content Standard
141543 Waukegan Hospice Llc 36100 N Brookside Dr, Ste 101 Gurnee IL 5 (Chicago) 08/15/2025 1D1E66-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
141551 Unity Hospice Of Chicagoland, Llc 600 W Cermak Rd Suite 3d Chicago IL 5 (Chicago) 02/10/2022 MRMA11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0798 Federal, State, Local Laws & Regulations Standard
141551 Unity Hospice Of Chicagoland, Llc 600 W Cermak Rd Suite 3d Chicago IL 5 (Chicago) 04/15/2024 628EC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0693 Label Dispose Storage Drugs Standard
L0700 Label Dispose Storage Drugs Standard
141551 Unity Hospice Of Chicagoland, Llc 600 W Cermak Rd Suite 3d Chicago IL 5 (Chicago) 02/21/2025 65518-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0549 Content Of Plan Of Care Standard
L0653 Services Standard
141552 Hospice Of The Rock River Valley 2706 Avenue E Sterling IL 5 (Chicago) 06/17/2022 YK6G11 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0539 Approach To Service Delivery Standard
L0596 Counseling Services Standard
141552 Hospice Of The Rock River Valley 2706 Avenue E Sterling IL 5 (Chicago) 06/26/2025 66483-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0015 Subsistence Needs For Staff And Patients Standard
E0030 Names And Contact Information Standard
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0591 Nursing Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0643 Training Standard
L0663 Training Standard
L0679 Authentication Standard
L0824 Physical Environment Standard
L0827 Fire Protection Standard
141552 Hospice Of The Rock River Valley 2706 Avenue E Sterling IL 5 (Chicago) 06/26/2025 66483-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0133 Multiple Occupancies - Construction Type Standard
K0291 Emergency Lighting Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0918 Electrical Systems - Essential Electric Syste Standard
141553 Vna Health Care, An Illinois Not-For-Profit Corporation 400 North Highland Avenue Aurora IL 5 (Chicago) 02/23/2024 623B4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0030 Names And Contact Information Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0586 Licensed Professional Services Standard
L0646 Cost Saving Standard
141556 Hospice Of Kankakee Valley Inc. 482 Main Street Nw Bourbonnais IL 5 (Chicago) 09/29/2022 QQDF11 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0552 Review Of The Plan Of Care Standard
L0679 Authentication Standard
L0798 Federal, State, Local Laws & Regulations Standard