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
▼ 161575 Iowa Hospice Llc 5399 Chimra Road Panora CA 9 (San Francisco) 11/09/2023 1202249 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
L0673 Content Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
▼ 161575 Iowa Hospice, L L C 5399 Chimra Road Panora IA 7 (Kansas City) 06/13/2024 6337E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0517 Rights Of The Patient Standard
L0557 Coordination Of Services Standard
▼ 161577 Orange City Hospice 400 Central Avenue Nw Orange City IA 7 (Kansas City) 05/12/2022 IS4S11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 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
L0626 Hospice Aide Assignments And Duties Standard
L0684 Discharge Or Transfer Of Care Standard
L0796 Criminal Background Checks Standard
L0798 Federal, State, Local Laws & Regulations Standard
▼ 161577 Orange City Hospice 400 Central Avenue Nw Orange City IA 7 (Kansas City) 05/07/2025 65B88-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0626 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0715 Inpatient Care Provided Under Arrangements Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161580 Essence Of Life, L L C 606 39th Ave Box 333 Amana IA 7 (Kansas City) 04/15/2024 62A01-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
▼ 161581 Trinity Home Health Services 417 East 1st Street Monticello IA 7 (Kansas City) 06/05/2024 62FED-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0629 Supervision Of Hospice Aides Standard
L0655 Professional Management Responsibility Standard
L0781 Coordination Of Services Standard
▼ 161581 Above & Beyond Home Health And Hospice Care 417 E.1st Street Monticello IA 7 (Kansas City) 06/21/2024 1233594 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0713 Inpatient Care Provided Under Arrangements Standard
▼ 161582 Iowa Hospice, Llc 831 North Griffith Road Carroll IA 7 (Kansas City) 02/03/2022 1125437 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0773 Hospice Plan Of Care Standard
▼ 161582 Iowa Hospice, Llc 831 North Griffith Road Carroll IA 7 (Kansas City) 01/17/2025 1253395 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
▼ 161583 St. Croix Hospice, Llc Ankeny, Ia Dba St. Croix Hospice 1555 Se Delaware Avenue, Suite Q Ankeny IA 7 (Kansas City) 10/28/2021 1123146 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard