Iroquois Memorial Hospice
A hospice in Watseka, Illinois 60970
200 E Fairman Ave, Watseka, Illinois 60970. (815) 432-0185.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 8of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
7 deficiencies cited in the last three years
The middle of the 5 hospices serving ZIP code 60970 had 5.
The last inspection on record was on Dec 5, 2025: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
7 deficiencies in 1 month of the last 36. Last cited Dec 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Dec 5, 2025: reaccreditation inspection by The Joint Commission7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(8))
“Observed in Document Review. The organization had not defined in writing, the scope and content of reassessment information it collects. In review of the organization’s documents and policies the hospice nurse surveyor noted they had defined in writing the scope and content of the Comprehensive Assessment however they had not identified the content and information they collect for reassessments. This was validated with the Hospice Nurse Manager.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 180 words
“Observed in Record Review. In 2 of 14 patient records reviewed, the written plan of care was not based on the patient and family needs as identified in the comprehensive assessment. In review of the medical record for HOS RRHV #2 the oxygen safety risk assessment completed at the start of care identified risks including; smoking materials in home and other fire safety risks in the home. Additionally, during the home visit the Hospice Nurse and the Hospice Surveyor noted that there were two e-tanks that were secured in a stand however stored in an area without adequate ventilation behind a mattress in a storage room. In review of the medical record it was noted that there were no goals or interventions on the Plan of Care regarding Oxygen Safety. Also, in review of the medical record for HOS RRNHV #2 the oxygen safety risk assessment completed at the start of care identified safety risks including clutter however the surveyor noted that Oxygen Safety was not addressed on the Plan of Care. This was validated with the Hospice Nurse Manager.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. The organization was not able to demonstrate savings achieved by volunteer staff providing day-to-day administrative or direct patient care in an amount that equals 5% of the total patient care hours of all paid hospice employees and contract staff. The Hospice documented a savings of 4.1% for 2025. This was validated by the Home Health & Hospice Director and the Hospice Nurse Manager.”
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Medical director contract (42 CFR 418.102(a)(1)(i))
“Observed in Leadership Session. The hospice had not designated a physician to assume the same responsibilities as the Hospice Medical Director when she is not available. In discussion with the Home Health & Hospice Director and the Hospice Nurse Manager they confirmed that the contract with the medical director did provide for back up coverage from the medical group but a specific physician was not identified.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 143 words
“Observed in Patient Home. with registered nurses, the patient record was not complete and included information that reflected the patient’s care and treatment. For HOS RRHV #1 the medication profile was inaccurate and included Macrobid 100 mg , Meropenem 1000mg and Levofloxacin 750 mg as active medications when all had end dates of 08/30/2022. Additionally, the patient had Bisacodyl suppository 10 mg 1 daily prn for constipation in the home which was not on the medication profile. For HOS RRHV #2 the medication profile included Ropinirole 5 mg daily however the patient reported that she had discontinued that medication 2 months ago at the time of election of the hospice benefit. Also, the comfort medications Acetaminophen 650 mg suppository and Bisacodyl 10 mg suppositories were on the medication profile but were not in the home. This was validated with the Hospice Nurse Manager.”
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 196 words
“Observed in Record Review. In 7 of 14 patient records reviewed, the patient record was not complete and documented in accordance with the organization’s Policy: Documentation of Written Records which states; the recorded information includes but is not limited to; observations and assessments of patient, family and environment, vital signs taken, care provided and interventions carried out, patient/family input and response, teaching instructions given, all phone calls and conferences concerning patient, plans for follow up care and treatment. In review of the medical record for HOS RRHV #2 8 out of 13 skilled nursing visit notes were narrative notes and did not include required elements, for example the SNV documentation on 11/28/2025 documented that the patient’s port was re-accessed per protocol, dressing to patient coccyx are was changed, however the documentation did not fully describe the treatments and dressing changes performed. This was also observed in review of medical records HOS RRHV # 1, HOS RRNHV #4, HOS RRNHV # 5, HOS RRNHV # 6, HOS RRNHV # 8, and HOS RRNHV 10 where the surveyor noted SNV notes were narrative notes that failed to include required elements. This was validated with the Hospice Nurse Manager.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Document Review. the organization’s written agreement with the contracted durable medical equipment company did not include a stipulation that they will complete criminal background checks on contracted employees who provide direct patient care or have access to patient records. This was validated with the Hospice Nurse Manager.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 5, 2025 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 4, 2004.
- Ownership: other.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 8 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 96.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 49% at home, 15% in assisted living, 34% in a skilled nursing facility, 3% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 8.0 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 96.5% of patients who died |
Who owns it?
- 8 owners or officers are people: Michelle Fox (managing employee (on the payroll)); Michael Tilstra (corporate director); Daniel Tincher (corporate director); Sara J Mikuta (corporate director); Philip Zumwalt (corporate director); Rhonda Pence (corporate director); Mitchell Haas (managing employee (on the payroll)); Roger Dittrich (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 88% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 76.4% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 8 of 10 |
How does it compare nearby?
- Of the 5 hospices CMS’s data show serving patients in ZIP code 60970, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 7.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Iroquois Memorial Hospice This hospice | 7 |
| Vitas Healthcare Corporation of Illinois | 5 |
| Uplifted Care | 0 |
| Traditions Health | 6 |
| Transitions Hospice Central Illinois LLC | 5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.