Deficiency Index

Palos Community Hospital

Palos Heights, Illinois · CCN 141591

12251 South 80th Avenue

17 federal deficiencies across 3 surveys, March 23, 2022 to July 6, 2023.

Deficiencies17

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

Surveys3

Federal surveys with at least one deficiency

Condition-level3

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

What level the findings sit at

Condition-level317.6%
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-level1482.4%
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

TJC, State Agency.

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

Most-cited requirements

Survey record

Federal surveys of Palos Community Hospital
SurveyTypeDeficienciesCondition-level
Jul 6, 2023Follow-Up1—
May 11, 2023Reaccreditation153
Mar 23, 2022Complaint1—

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 17 findings in full →

Hospice findings published by CMS on QCOR, covering surveys from March 23, 2022 to July 6, 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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