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
▼ 161530 Hospice Of Palo Alto County 3201 First Street Emmetsburg IA 7 (Kansas City) 07/19/2023 606A6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0613 Hospice Aide Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0663 Training Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ 161532 Hospice Preferred Choice 4201 Rivers Edge Pkwy Ste 420 Council Bluffs IA 7 (Kansas City) 03/14/2023 5F2F5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0555 Coordination Of Services Standard
▼ 161532 Hospice Preferred Choice, Inc. 4201 Rivers Edge Parkway, Suite 420 Council Bluffs IA 7 (Kansas City) 08/01/2024 1237976 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
L0796 Criminal Background Checks Standard
▼ 161533 Spencer Municipal Hospital 101 E 10th St Spencer IA 7 (Kansas City) 08/16/2023 6072B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0613 Hospice Aide Training Standard
L0655 Professional Management Responsibility Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0778 Coordination Of Services Standard
L0796 Criminal Background Checks Standard
▼ 161537 Sioux Valley Memorial Hospital Association 212 E Bow Drive Cherokee IA 7 (Kansas City) 07/17/2024 6338D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0553 Review Of The Plan Of Care Standard
L0633 Supervision Of Hospice Aides Standard
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 03/10/2022 IP2D21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0341 Fire Alarm System - Installation Standard
K0354 Sprinkler System - Out Of Service Standard
K0916 Electrical Systems - Essential Electric Syste Standard
K0918 Electrical Systems - Essential Electric Syste Standard
K9999 Final Observations Memo
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 03/10/2022 IP2D11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
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
L0719 Hospices That Provide Inpatient Care Directly Condition
L0724 Physical Environment Standard
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0771 Written Agreement Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
L0775 Hospice Plan Of Care Standard
L0778 Coordination Of Services Standard
L0779 Coordination Of Services Standard
L0781 Coordination Of Services Standard
L0782 Orientation And Training Of Staff Standard
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 10/04/2023 60DFD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 02/14/2025 65646-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 03/11/2025 65646-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0683 Discharge Or Transfer Of Care Standard