Deficiency Index

Acacia Hospice and Palliative Care LLC

Lombard, Illinois · CMS number not yet issued

2200 S Main St Ste 304

31 federal deficiencies across 2 surveys, April 3, 2024 to October 23, 2024.

Deficiencies31

Excludes the inspector’s preamble, which is not a finding

Surveys2

Federal surveys with at least one deficiency

Condition-level5

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Condition-level516.1%
The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
Standard-level2683.9%
A requirement within a Condition of Participation. The Condition itself was not cited.

These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.

Who conducted the surveys

ACHC.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Acacia Hospice and Palliative Care LLC
SurveyTypeDeficienciesCondition-level
Oct 23, 2024Initial10—
Apr 3, 2024Initial215

In the inspector’s words

CMS publishes the deficiencies cited at this hospice but not the inspector’s written findings for them.

Hospice findings published by CMS on QCOR, covering surveys from April 3, 2024 to October 23, 2024. The inspectors’ written findings come from a single CMS survey-report extract.

Federal survey findings only. State licensure findings for hospices are not shown.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction