S&C QCOR Hospice 2567s
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Hospice 2567s
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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 Bella Vita Healthcare Llc 3680 Grant Dr, Ste A Reno NV 9 (San Francisco) 09/15/2022 SEP1322_GZU_8547372_ Initial
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
L0591 Nursing Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0627 Hospice Aide Assignments And Duties Standard
L0648 Organizational Environment Condition
L0653 Services Standard
L0662 Training Standard
L0684 Discharge Or Transfer Of Care Standard
▼ Pending Four Star Hospice Care 2222 S. Dobson Road, Ste 103-A Mesa AZ 9 (San Francisco) 09/22/2022 42435 Initial
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Standard
E0001 Establishment Of The Emergency Program (Ep) Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
L0503 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Condition
L0579 Prevention Standard
L0596 Counseling Services Standard
L0601 Furnishing Of Non-Core Services Condition
L0602 Furnishing Of Non-Core Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0677 Content Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0712 Inpatient Care Provided Under Arrangements Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0725 Safety Management Standard
L0788 Personnel Qualification Standard
L0789 Personnel Qualification Standard
L0791 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ Pending Valhalla Hospice Llc 301 W Bastanchury Rd, Suite 100 Fullerton CA 9 (San Francisco) 09/29/2022 444779745 Initial
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0651 Governing Body And Administrator Condition
L0795 Criminal Background Checks Standard
▼ Pending Beneficent Care Hospice Inc 12444 Victory Blvd, Suite 223 North Hollywood CA 9 (San Francisco) 10/04/2022 44908 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0651 Governing Body And Administrator Standard
L0661 Training Standard
L0663 Training Standard
L0679 Authentication Standard
▼ Pending Tender Heart Hospice, Inc. 4355 E. Lowell Street, Suite H Ontario CA 9 (San Francisco) 10/06/2022 444479735 Initial
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Condition
L0579 Prevention Standard
L0651 Governing Body And Administrator Condition
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ Pending Mercy Medical Center Clinton Inc. 1410 North 4th Street Clinton IA 7 (Kansas City) 10/14/2022 444420465 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0674 Content Standard
▼ Pending Indiana University Health, Inc. 1701 North Senate Boulevard Indianapolis IN 5 (Chicago) 10/14/2022 441225295 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0728 Fire Protection Standard
▼ Pending Sto Nino Hospice Inc 14545 Friar St. Ste 112-A Van Nuys CA 9 (San Francisco) 10/19/2022 45239 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0579 Prevention Standard
▼ Pending Evolve Hospice, Inc. 18305 Sherman Way, Suite 23 Reseda CA 9 (San Francisco) 10/20/2022 444859645 Initial
Deficiency Tag Deficiency Description Tag Type
L0667 Initial Certification Of Terminal Illness Standard
L0761 Eligibility Criteria Facility Residents Standard
▼ Pending Sharing Care Hospice 121 West Lexington Dr. Suite 202 Glendale CA 9 (San Francisco) 11/03/2022 444806465 Initial
Deficiency Tag Deficiency Description Tag Type
L0544 Plan Of Care Standard