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 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
▼ 161519 Sioux Center Community Hospital And Health Center 1400 7th Avenue Se Sioux Center IA 7 (Kansas City) 08/07/2023 606A8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0613 Hospice Aide Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0661 Training Standard
L0663 Training Standard
L0695 Label Dispose Storage Drugs Standard
L0696 Label Dispose Storage Drugs Standard
L0796 Criminal Background Checks Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 06/27/2023 601C9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 08/23/2023 60A68-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0613 Hospice Aide Training Standard
L0629 Supervision Of Hospice Aides Standard
L0683 Discharge Or Transfer Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0688 Managing Drugs And Biologicals Standard
L0691 Dispensing Of Drugs And Biologicals Standard
▼ 161520 Genesis Health System 2546 Tech Drive Bettendorf IA 7 (Kansas City) 09/22/2023 60FD1-H1 Federal Monitoring
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0579 Prevention Standard
▼ 161521 Palmer Lutheran Health Center, Inc 200 Jefferson Street West Union IA 7 (Kansas City) 04/25/2024 62E7E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard
▼ 161525 Sanford Health Network 118 North Seventh Street, Po Box 250 Sheldon IA 7 (Kansas City) 07/28/2022 FRC111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care 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
L0613 Hospice Aide Training Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0671 Clinical Records Standard
L0678 Content Standard
L0697 Label Dispose Storage Drugs Standard
L0768 Written Agreement Standard
L0769 Written Agreement Standard
L0771 Written Agreement Standard
L0778 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 161525 Sanford Health Network 118 North Seventh Street, Po Box 250 Sheldon IA 7 (Kansas City) 07/09/2025 66742-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0672 Content Standard
L0679 Authentication Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0778 Coordination Of Services Standard
L0787 Personnel Qualification Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161527 Mercy Home Care And Hospice-Clinton 915 13th Ave N Clinton IA 7 (Kansas City) 05/11/2022 WD1O11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0687 Drugs Biologicals Medical Supplies & Dme Standard
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0762 Professional Management Standard
L0781 Coordination Of Services Standard
▼ 161527 Mercy Medical Center - Clinton 638 South Bluff Boulevard Clinton IA 7 (Kansas City) 10/14/2022 1158331 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0674 Content Standard
▼ 161527 Mercy Medical Center Clinton Inc. 638 South Bluff Boulevard Clinton IA 7 (Kansas City) 10/14/2022 1158331 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0674 Content Standard