S&C QCOR Hospice 2567s
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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. 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
▼ 181524 Appalachian Hospice Care Inc. 1414 South Mayo Trail Pikeville KY 4 (Atlanta) 05/12/2023 TJC 447599215 Initial
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0581 Control Standard
L0581 Control Standard
L0651 Governing Body And Administrator Standard
▼ 181525 Pennyroyal Hospice, Inc. 220 Burley Avenue Hopkinsville KY 4 (Atlanta) 07/26/2024 State Agency 63D3E-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0571 Performance Improvement Projects Standard
L0579 Prevention Standard
L0662 Training Standard
L0796 Criminal Background Checks Standard
▼ 181525 Pennyroyal Hospice, Inc. 220 Burley Avenue Hopkinsville KY 4 (Atlanta) 09/25/2024 State Agency 63D3E-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0571 Performance Improvement Projects Standard
L0579 Prevention Standard
L0662 Training Standard
L0796 Criminal Background Checks Standard
▼ 181526 Bluegrass Care Navigators 57 Dennis Sandlin, Md Cove Hazard KY 4 (Atlanta) 06/28/2024 State Agency 63A9F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0562 Program Scope Standard
▼ 181526 Bluegrass Care Navigators 57 Dennis Sandlin, Md Cove Hazard KY 4 (Atlanta) 09/04/2024 State Agency 63A9F-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0562 Program Scope Standard
▼ 181526 Mountain Community Hospice 57 Dennis Sandlin Md Cove Hazard KY 4 (Atlanta) 12/04/2025 CHAP DEC0225_VMH_8551998_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0549 Content Of Plan Of Care Standard
▼ 181527 Hosparus, Inc. 200 Clinic Drive Madisonville KY 4 (Atlanta) 09/13/2024 State Agency 64185-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0628 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
▼ 181527 Hosparus, Inc. 200 Clinic Drive Madisonville KY 4 (Atlanta) 12/05/2024 State Agency 64185-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0628 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
▼ 181531 T. J. Samson Community Hospital Home Care Program Hospice 1301 North Race Street Glasgow KY 4 (Atlanta) 01/22/2025 State Agency 651D7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0541 Approach To Service Delivery Standard
▼ 181531 T. J. Samson Community Hospital Home Care Program Hospice 1301 North Race Street Glasgow KY 4 (Atlanta) 01/22/2025 State Agency 651D7-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
K0000 Initial Comments Memo
K0211 Means Of Egress - General Standard
K0271 Discharge From Exits Standard
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0908 Gas And Vacuum Piped Systems ? Central Supply System Alarms Standard