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
▼ 031573 Rta Hospice,Llc 2320 S. 22nd Drive Yuma AZ 9 (San Francisco) 07/21/2022 JUL1822_BMH_884082_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 031573 Rta Hospice,Llc 2320 S. 22nd Drive Yuma AZ 9 (San Francisco) 05/15/2025 APR2925_JMI_884082_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
L0632 Supervision Of Hospice Aides Standard
L0678 Content Standard
▼ 031577 Soulistic Medical Institute 16-18 Calle Iglesia Tubac AZ 9 (San Francisco) 02/06/2025 6538D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
L0000 Initial Comments Memo
▼ 031577 Soulistic Medical Institute 16-18 Calle Iglesia Tubac AZ 9 (San Francisco) 02/11/2025 6538D-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
L0000 Initial Comments Memo
▼ 031582 Hospice Of The Southwest - West Valley Llc 136 S. Broad Street Globe AZ 9 (San Francisco) 03/31/2022 435584385 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
▼ 031584 The Evangelical Lutheran Good Samaritan Society 1065 Ruth Street, Suite 108-109 Prescott AZ 9 (San Francisco) 12/06/2023 61815-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0372 Subdivision Of Building Spaces ? Smoke Barrier Construction Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0921 Electrical Equipment ? Testing And Maintenance Requirements Standard
▼ 031584 The Evangelical Lutheran Good Samaritan Society 1065 Ruth Street, Suite 108-109 Prescott AZ 9 (San Francisco) 12/08/2023 61815-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0693 Label Dispose Storage Drugs Standard
L0834 Sanitary Environment Standard
▼ 031586 Huachuca Healthcare Llc 1048 East Fry Boulevard, Suite E Sierra Vista AZ 9 (San Francisco) 01/16/2025 65100-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0517 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 031586 Huachuca Healthcare Llc 1048 East Fry Boulevard, Suite E Sierra Vista AZ 9 (San Francisco) 03/25/2025 65100-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0018 Procedures For Tracking Of Staff And Patients Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0517 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 031588 Sacred Heart Hospice, Llc 426 N. 44th Street #405 Phoenix AZ 9 (San Francisco) 07/21/2022 439261565 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0663 Training Standard
L0674 Content Standard