S&C QCOR OPO 2567s
d QCOR:  Quality, Certification and Oversight Reports.
OPOs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Note: There is no OPO 2567 data for the year 2012.

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 OPO 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).

Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for.

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
14P001 Gift Of Hope 425 Spring Lake Drive Itasca IL 5 (Chicago) 03/12/2010 IDRU11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0199 Designated Requestor Training Standard
Z0235 Administration And Governing Body Standard
Z0261 Qualifications Standard
Z0263 Staffing Standard
Z0265 Education, Training, Performance Evaluation Standard
Z0321 Collaboration With Transplant Programs Standard
Z0339 Components Of A Qapi Program Standard
14P001 Gift Of Hope 425 Spring Lake Drive Itasca IL 5 (Chicago) 01/10/2011 Z0PT11 Complaint
Deficiency Tag Deficiency Description Tag Type
Z0265 Education, Training, Performance Evaluation Standard
14P001 Gift Of Hope 425 Spring Lake Drive Itasca IL 5 (Chicago) 01/31/2014 R8KI11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0057 Hospital Agreements Standard
Z0095 Administration And Governing Body Standard
Z0096 Administration And Governing Body Standard
Z0120 Qualifications Standard
Z0121 Staffing Standard
Z0165 Requesting Consent Standard
Z0180 Collaboration With Transplant Programs Standard
Z0184 Collaboration With Transplant Programs Standard
Z0186 Donation After Cardiac Death Standard
14P001 Gift Of Hope 425 Spring Lake Drive Itasca IL 5 (Chicago) 01/12/2018 JBNY11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0057 Hospital Agreements Standard
Z0085 Administration And Governing Body Standard
Z0086 Administration And Governing Body Standard
Z0095 Administration And Governing Body Standard
Z0118 Qualifications Standard
Z0121 Staffing Standard
Z0171 Potential Donor Evaluation Standard
Z0202 Adverse Events Standard
14P001 Gift Of Hope 425 Spring Lake Drive Itasca IL 5 (Chicago) 02/24/2022 QNQ711 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 Ep Training Program Standard
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0085 Administration And Governing Body Standard
15P001 Indiana Donor Network 3750 Guion Road Indianapolis IN 5 (Chicago) 03/26/2010 3UQ911 Standard
Deficiency Tag Deficiency Description Tag Type
Z0009 Requirements For Certification Standard
Z0199 Designated Requestor Training Standard
Z0235 Administration And Governing Body Standard
Z0237 Administration And Governing Body Standard
Z0258 Human Resources Condition
Z0259 Qualifications Standard
Z0260 Qualifications Standard
Z0261 Qualifications Standard
Z0262 Staffing Standard
Z0266 Medical Director Standard
Z0306 Requesting Consent Standard
Z0309 Potential Donor Protocol Management Standard
Z0318 Testing Standard
Z0321 Collaboration With Transplant Programs Standard
15P001 Indiana Donor Network 3750 Guion Road Indianapolis IN 5 (Chicago) 02/28/2014 YFPX11 Standard
Deficiency Tag Deficiency Description Tag Type
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0057 Hospital Agreements Standard
Z0091 Administration And Governing Body Standard
Z0095 Administration And Governing Body Standard
Z0120 Qualifications Standard
Z0121 Staffing Standard
Z0124 Education, Training, & Performance Evaluation Standard
Z0167 Eval/Mgt Of Ptntl Donors/Org Plcmnt & Rcvry Condition
Z0178 Testing Standard
Z0180 Collaboration With Transplant Programs Standard
Z0191 Donation After Cardiac Death Standard
Z0197 Organ Preparation And Transport Standard
15P001 Indiana Donor Network 3750 Guion Road Indianapolis IN 5 (Chicago) 09/22/2016 0THL11 Complaint
Deficiency Tag Deficiency Description Tag Type
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0167 Eval/Mgt Of Ptntl Donors/Org Plcmnt & Rcvry Condition
Z0171 Potential Donor Evaluation Standard
Z0199 Quality Assessment & Performance Improvement Condition
Z0200 Components Of A Qapi Program Standard
15P001 Indiana Donor Network 3750 Guion Road Indianapolis IN 5 (Chicago) 04/26/2018 X2CQ11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0118 Qualifications Standard
15P001 Indiana Donor Network 3750 Guion Road Indianapolis IN 5 (Chicago) 05/12/2022 R6HJ11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names And Contact Information Standard
E0037 Ep Training Program Standard
Z0000 Initial Comments - Not a Deficiency Citation Memo
Z0060 Cooperation With Tissue Banks Standard
Z0119 Qualifications Standard