Comfort Plus Hospice Inc
Peoria, Illinois · CCN 141641
7150 N University St.
26 federal deficiencies across 3 surveys, November 8, 2022 to September 7, 2023.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Condition-level27.7%
- 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-level2492.3%
- 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
CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0530Content of Comprehensive Assessment3
- L0523Timeframe for Completion of Assessment2
- L0625Hospice Aide Assignments and Duties2
- L0644Role2
- L0676Content2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 7, 2023 | Follow-Up | 4 | — |
| Jul 26, 2023 | Reaccreditation | 18 | 2 |
| Nov 8, 2022 | Follow-Up | 4 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from November 8, 2022 to September 7, 2023. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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