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

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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
151582 Southerncare Inc 1626 E Day Rd Mishawaka IN 5 (Chicago) 07/29/2024 63C49-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0562 Program Scope Standard
151582 Southerncare Inc 1626 E Day Rd Mishawaka IN 5 (Chicago) 09/12/2024 63C49-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
151582 Southerncare Inc 1626 E Day Rd Mishawaka IN 5 (Chicago) 08/05/2025 1D2A5D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0762 Professional Management Standard
L0774 Hospice Plan Of Care Standard
151583 Unity Hospice Of Northwest Indiana Llc 3313 East 83rd Place Merrillville IN 5 (Chicago) 01/05/2022 UQSL11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0784 Personnel Qualification Standard
151583 Unity Hospice Of Northwest Indiana Llc 3313 East 83rd Place Merrillville IN 5 (Chicago) 06/30/2023 60223-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0558 Coordination Of Services Standard
L0569 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0579 Prevention Standard
L0580 Control Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0628 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0694 Label Dispose Storage Drugs Standard
L0774 Hospice Plan Of Care Standard
L0780 Coordination Of Services Standard
L0781 Coordination Of Services Standard
151583 Unity Hospice Of Northwest Indiana Llc 3313 East 83rd Place Merrillville IN 5 (Chicago) 08/23/2023 60223-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0558 Coordination Of Services Standard
L0591 Nursing Services Standard
151586 Vistacare Usa, Llc 37 South Park Blvd, Bldg 1 Greenwood IN 5 (Chicago) 06/09/2022 1137052 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
151586 Vistacare Usa Llc 37 South Park Boulevard, Bldg 1 Greenwood IN 5 (Chicago) 10/18/2024 6475C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
151586 Vistacare Usa, Llc 37 South Park Blvd., Bldg. 1 Greenwood IN 5 (Chicago) 05/22/2025 1264995 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0679 Authentication Standard
L0712 Inpatient Care Provided Under Arrangements Standard
L0715 Inpatient Care Provided Under Arrangements Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
151586 Vistacare Usa, Llc 37 South Park Blvd., Bldg. 1 Greenwood IN 5 (Chicago) 07/14/2025 N/A Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard