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

Time Interval

Please select the calendar year or years for which you would like data.

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
Pending Loyalty Hospice Care Llc 3230 S. Buffalo Dr, Ste 107, Unit 8 Las Vegas NV 9 (San Francisco) 07/14/2022 JUL1222_TWN_8547957_ Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
Pending All Comfort Hospice Inc 25201 Avenue Tibbitts, Suite 202 Valencia CA 9 (San Francisco) 07/28/2022 443763085 Initial
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0598 Counseling Services Standard
L0678 Content Standard
Pending Loyalty Hospice Services, Inc. 1700 E Lincoln Ave, Suite 204 Anaheim CA 9 (San Francisco) 07/28/2022 440330525 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
Pending Heavenly Angel Hospice Inc 202 E Airport Dr, Suite 158 San Bernardino CA 9 (San Francisco) 08/10/2022 443853415 Initial
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
Pending Butterfly Hospice & Palliative Care 7322 Southwest Fwy, Suite 660 Rm B Houston TX 6 (Dallas) 08/11/2022 AUG0922_GAY_8547470_ Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0683 Discharge Or Transfer Of Care Standard
Pending St Gilbert Hospice 14545 Friar St. Ste 239 Van Nuys CA 9 (San Francisco) 08/25/2022 43965 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0679 Authentication Standard
Pending Ahpc Santa Barbara, Inc. 7 W. Figueroa St, Suite 200 Santa Barbara CA 9 (San Francisco) 09/01/2022 AUG3022_URF_8546624_ Initial
Deficiency Tag Deficiency Description Tag Type
E0013 Development Of Ep Policies And Procedures Standard
L0504 Notice Of Rights And Responsibilities Standard
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0762 Professional Management Standard
L0774 Hospice Plan Of Care Standard
Pending Black River Health, Inc. 711 West Adams Black River Falls WI 5 (Chicago) 09/09/2022 440311365 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Condition
L0549 Content Of Plan Of Care Condition
L0579 Prevention Standard
L0617 Competency Evaluation Standard
L0627 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
Pending First Choice Hospice Care, Inc. 18340 Ventura Blvd, Suite 228 Tarzana CA 9 (San Francisco) 09/09/2022 442923965 Initial
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0663 Training Standard
L0674 Content Standard
L0679 Authentication Standard
Pending Black River Memorial Hospital, Inc. 711 West Adams Black River Falls WI 5 (Chicago) 09/09/2022 440311365 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Condition
L0549 Content Of Plan Of Care Condition
L0579 Prevention Standard
L0617 Competency Evaluation Standard
L0627 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard