Serenity Point Hospice LLC
Canton, Illinois · CCN 141708
762 E Chestnut Street
20 federal deficiencies across 4 surveys, February 9, 2024 to May 2, 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
- Condition-level525.0%
- 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-level1575.0%
- 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
CHAP, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0648Organizational Environment3
- L0651Governing Body and Administrator3
- L0686Drugs Biologicals Medical Supplies & DME2
- L0694Label Dispose Storage Drugs2
- L0700Label Dispose Storage Drugs2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| May 2, 2024 | Reaccreditation | 8 | — |
| Apr 24, 2024 | Complaint | 2 | 1 |
| Feb 23, 2024 | Complaint | 5 | 2 |
| Feb 9, 2024 | Complaint | 5 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 13 findings in full →
CMS publishes written findings for 13 of the 20 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from February 9, 2024 to May 2, 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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