Serenity One Hospice and Palliative Care Lllc
Lombard, Illinois · CCN 141694
2200 S Main St, Suite 212
14 federal deficiencies across 2 surveys, February 22, 2024 to February 29, 2024.
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
- Standard-level14100.0%
- 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
State Agency, CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0004Develop EP Plan, Review and Update Annually1
- E0006Plan Based on All Hazards Risk Assessment1
- E0039EP Testing Requirements1
- L0523Timeframe for Completion of Assessment1
- L0543Plan of Care1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Feb 29, 2024 | Recertification | 11 | — |
| Feb 22, 2024 | Initial with CCN | 3 | — |
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 February 22, 2024 to February 29, 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.
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