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 June 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
▼ 031676 Accord Health Group, Llc 2155 W State Route 89a, Suite 206 Sedona AZ 9 (San Francisco) 08/02/2024 CHAP AUG0224_KQD_883161_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
▼ 031678 Jentilly Healthcare Llc 580 North Camino Mercado Suite 3 & 4 Casa Grande AZ 9 (San Francisco) 03/27/2025 State Agency 65A74-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0024 Policies/Procedures-Volunteers And Staffing Standard
L0000 Initial Comments Memo
▼ 031679 Omegalife Hospice Of Arizona, Inc 10000 North 31st Avenue, Suite D301 Phoenix AZ 9 (San Francisco) 09/26/2024 State Agency 63F21-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0833 Infection Control Standard
▼ 031680 Family Care Home Health & Hospice, Llc 2440 Adobe Rd #106 #107 Bullhead City AZ 9 (San Francisco) 01/07/2022 TJC 435565295 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0581 Control Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Standard
L0674 Content Standard
L0695 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
L0795 Criminal Background Checks Standard
▼ 031680 Family Care Home Health & Hospice, Llc 2440 Adobe Rd #106 #107 Bullhead City AZ 9 (San Francisco) 06/03/2022 TJC 441880325 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
▼ 031680 Family Care Home Health & Hospice, Llc 2440 Adobe Rd #106 #107 Bullhead City AZ 9 (San Francisco) 01/17/2025 TJC 453586865 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0025 Arrangement With Other Facilities Standard
E0032 Primary/Alternate Means For Communication Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0039 Ep Testing Requirements Standard
L0503 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0531 Content Of Comprehensive Assessment Standard
L0533 Update 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
L0577 Infection Control Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Standard
L0682 Discharge Or Transfer Of Care Standard
▼ 031680 Family Care Home Health & Hospice, Llc 2440 Adobe Rd #106 #107 Bullhead City AZ 9 (San Francisco) 02/25/2025 TJC 456649705 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0545 Content Of Plan Of Care Standard
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Condition
▼ 031681 Reflections Hospice Of Arizona North, Llc 1840 East University Drive Suite 1a Mesa AZ 9 (San Francisco) 04/24/2024 State Agency 62D62-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0030 Names And Contact Information Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
▼ 031682 Ahc Home Health & Hospice Of Arizona, Llc 2045 S Vineyard, Ste 127 Mesa AZ 9 (San Francisco) 12/18/2023 ACHC 1204259 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
▼ 031683 Everest Hospice 14970 W. Indian School Rd., Suite 230 Goodyear AZ 9 (San Francisco) 12/13/2022 State Agency 5E710-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
L0649 Organization And Administration Of Services Standard
L0653 Services Standard
L0721 Staffing Standard