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 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
▼ 151636 Carefirst Hospice Llc 7225 Nova'S Landing Sellersburg IN 5 (Chicago) 03/28/2024 6274C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
L0000 Initial Comments Memo
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0678 Content Standard
▼ 151637 Adaptive Hospice Llc 6325 Digital Way, Suite 130 Indianapolis IN 5 (Chicago) 03/14/2024 1222056 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
▼ 151638 Tranquility Hospice And Palliative Care Inc 9515 Indianapolis Blvd Ste 6f Highland IN 5 (Chicago) 05/12/2023 5F763-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0517 Rights Of The Patient Standard
L0556 Coordination Of Services Standard
L0628 Hospice Aide Assignments And Duties Standard
L0652 Services Standard
▼ 151639 Adaptive Hospice Llc 8844 Ruffian Lane, Suite B Newburgh IN 5 (Chicago) 05/31/2024 1236291 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0678 Content Standard
L0774 Hospice Plan Of Care Standard
▼ 151640 Echo Hospice Of Indiana, Llc 2901 Carlson Drive, Suite 314 Hammond IN 5 (Chicago) 11/30/2021 1118278 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
▼ 151640 Echo Hospice Of Indiana, Llc 9008 Cline Avenue, Unit 7 Highland IN 5 (Chicago) 11/22/2023 617FE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0562 Program Scope Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0784 Personnel Qualification Standard
▼ 151640 Echo Hospice Of Indiana, Llc 9008 Cline Avenue, Unit 7 Highland IN 5 (Chicago) 01/18/2024 617FE-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0562 Program Scope Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
▼ 151641 Caring Cove Hospice Llc 3120 N Home St., Suite B Mishawaka IN 5 (Chicago) 09/26/2024 1243463 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 151642 Intrepid Of The Crescent Valley, Inc. 1318 N. Green River Road Ste B Evansville IN 5 (Chicago) 02/09/2022 1125442 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
▼ 151643 Haven Hospice In, Llc 1114 S Halleck St De Motte IN 5 (Chicago) 02/17/2022 1125476 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0569 Program Activities Standard