S&C QCOR Hospice 2567s
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Hospice 2567s
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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
▼ 171505 Olathe Medical Center Inc 20920 W 151st Street, Suite 204 Olathe KS 7 (Kansas City) 04/30/2025 65F8E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0558 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0834 Sanitary Environment Standard
▼ 171506 Midland Care Connection, Inc. 200 Sw Frazier Circle Topeka KS 7 (Kansas City) 08/17/2022 7KHL11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
▼ 171509 Saint Luke's Hospice Of Leavenworth Llc 1001 6th Ave., Suite 125 Leavenworth KS 7 (Kansas City) 01/11/2024 61E1F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
L0000 Initial Comments Memo
L0629 Supervision Of Hospice Aides Standard
▼ 171511 Douglas County Visiting Nurses Association Inc 200 Maine Ste C (3rd Floor) Lawrence KS 7 (Kansas City) 11/17/2023 617F4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
▼ 171512 Ukhs Great Bend, Llc 3421 Forest Ave Great Bend KS 7 (Kansas City) 06/14/2024 63528-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0672 Content Standard
L0795 Criminal Background Checks Standard
▼ 171515 Hospice Services Of Northwest Kansas Inc 424 Eighth Street Phillipsburg KS 7 (Kansas City) 11/10/2023 616DB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0591 Nursing Services Standard
L0715 Inpatient Care Provided Under Arrangements Standard
▼ 171516 Atchison Hospital Association 705 Commercial St Atchison KS 7 (Kansas City) 12/20/2023 61AE8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0504 Notice Of Rights And Responsibilities Standard
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0511 Exercise Of Rights/Respect For Proprty/Person Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0576 Executive Responsibilities Standard
L0580 Control Standard
L0629 Supervision Of Hospice Aides Standard
L0641 Volunteers Condition
L0643 Training Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0653 Services Standard
L0666 Medical Director Contract Standard
L0676 Content Standard
L0678 Content Standard
L0690 Ordering Of Drugs Standard
L0776 Hospice Plan Of Care Standard
▼ 171517 Good Shepherd Homecare & Hospice Inc 3801 Vanesta Drive Manhattan KS 7 (Kansas City) 03/05/2024 62631-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
K0000 Initial Comments Memo
K0222 Egress Doors Standard
K0291 Emergency Lighting Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0361 Corridors - Areas Open To Corridor Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0923 Gas Equipment - Cylinder And Container Storag Standard
▼ 171517 Good Shepherd Homecare & Hospice Inc 3801 Vanesta Drive Manhattan KS 7 (Kansas City) 03/07/2024 62631-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0834 Sanitary Environment Standard
▼ 171518 Hand In Hand Hospice 1201 W 12th Ave Emporia KS 7 (Kansas City) 07/03/2024 636E4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0007 Ep Program Patient Population Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0558 Coordination Of Services Standard
L0693 Label Dispose Storage Drugs Standard