S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

Time Interval

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Note: Hospice 2567s data are available from October 2021 through March 2026.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific Hospice deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN

Use these filters if you want to search by a specific CMS Certification Number (CCN).

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
061570 Legacy Hospice, Llc 380 Perry Street, Suite 210 Castle Rock CO 8 (Denver) 12/20/2023 1205031 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0663 Training Standard
L0673 Content Standard
L0773 Hospice Plan Of Care Standard
L0788 Personnel Qualification Standard
L0789 Personnel Qualification Standard
L0791 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
061573 Arc Therapy Services, Llc 5600 S Quebec St, Suite 375c Greenwood Village CO 8 (Denver) 12/16/2022 442705035 Initial
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0671 Clinical Records Condition
L0674 Content Standard
061573 Arc Therapy Services, Llc 5600 S Quebec St, Suite 375c Greenwood Village CO 8 (Denver) 12/05/2025 457563325 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
L0529 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0582 Education Standard
L0598 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
L0674 Content Standard
L0683 Discharge Or Transfer Of Care Standard
061576 Suncrest Hospice Llc 5950 S Willow Dr Greenwood Village CO 8 (Denver) 10/11/2021 9N2W12 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0540 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0558 Coordination Of Services Standard
061576 Suncrest Hospice Llc 5950 S Willow Dr Greenwood Village CO 8 (Denver) 12/29/2022 5E9B4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0548 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0774 Hospice Plan Of Care Standard
061576 Suncrest Hospice Llc 5950 S Willow Dr Greenwood Village CO 8 (Denver) 02/28/2023 5E9B4-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0548 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0774 Hospice Plan Of Care Standard
061578 Dignity Hospice Of Colorado, Llc 400 E. 84th Ave. W-202 Thornton CO 8 (Denver) 10/06/2021 38361 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0768 Written Agreement Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0774 Hospice Plan Of Care Standard
061578 Dignity Hospice Of Colorado, Llc 400 E. 84th Ave. W-202 Thornton CO 8 (Denver) 09/18/2024 1241685 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0539 Approach To Service Delivery Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0678 Content Standard
L0762 Professional Management Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
061582 Rockies Community Hospice Llc 4380 S. Syracuse St. Ste. 620 Denver CO 8 (Denver) 08/18/2022 441609355 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
L0674 Content Standard
061582 Rockies Community Hospice Llc 4380 S. Syracuse St. Ste. 620 Denver CO 8 (Denver) 08/27/2025 458627615 Initial
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard