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. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
▼ 121503 Hospice Of Hilo 1011 Waianuenue Avenue Hilo HI 9 (San Francisco) 03/17/2025 State Agency 64FD9-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0513 Rights Of The Patient Standard
L0552 Review Of The Plan Of Care Standard
L0650 Serving The Hospice Patient And Family Standard
▼ 121504 Hospice Maui, Inc. 400 Mahalani Street Wailuku HI 9 (San Francisco) 03/04/2022 State Agency QBTR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0736 Meal Service And Menu Planning Standard
▼ 121504 Hospice Maui, Inc. 400 Mahalani Street Wailuku HI 9 (San Francisco) 03/08/2022 State Agency QBTR21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 121504 Hospice Maui, Inc. 400 Mahalani Street Wailuku HI 9 (San Francisco) 04/12/2022 State Agency QBTR22 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0345 Fire Alarm System - Testing And Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 121504 Hospice Maui, Inc. 400 Mahalani Street Wailuku HI 9 (San Francisco) 05/02/2022 State Agency QBTR12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0736 Meal Service And Menu Planning Standard
▼ 121505 Hospice Of Kona, Inc. 75-5925 Walua Road, Suite 101 Kailua Kona HI 9 (San Francisco) 01/20/2023 State Agency 5E9EA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
L0690 Ordering Of Drugs Standard
▼ 121505 Hospice Of Kona, Inc. 75-5925 Walua Road, Suite 101 Kailua Kona HI 9 (San Francisco) 05/01/2023 State Agency 5E9EA-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
L0690 Ordering Of Drugs Standard
▼ 121506 North Hawaii Hospice, Inc 65-1328 Kawaihae Road Kamuela HI 9 (San Francisco) 01/20/2023 State Agency 5ED83-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0517 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0543 Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0676 Content Standard
L0677 Content Standard
L0678 Content Standard
L0679 Authentication Standard
▼ 121507 Kauai Hospice, Inc. 4457 Pahe'E Street Lihue HI 9 (San Francisco) 12/15/2023 State Agency 61B88-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
▼ 121507 Kauai Hospice, Inc. 4457 Pahe'E Street Lihue HI 9 (San Francisco) 02/09/2024 State Agency 61B88-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard