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
▼ 321520 Family Hospice, Ltd D/B/A Gentiva 7500 Jefferson Street Ne, Ste 210 Albuquerque NM 6 (Dallas) 10/21/2021 State Agency HYJO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0578 Infection Control Standard
L0620 In-Service Training Standard
L0693 Label Dispose Storage Drugs Standard
▼ 321520 Family Hospice, Ltd. 7500 Jefferson St. Ne, Ste 210 Albuquerque NM 6 (Dallas) 09/14/2022 ACHC 44342 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0025 Arrangement With Other Facilities Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
L0679 Authentication Standard
L0781 Coordination Of Services Standard
▼ 321520 Family Hospice, Ltd. 7500 Jefferson St. Ne, Ste 210 Albuquerque NM 6 (Dallas) 09/05/2025 ACHC 1273438 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0596 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0673 Content Standard
▼ 321521 Alamogordo Home Health Care & Hospice, Inc 1859 Indian Wells Road Alamogordo NM 6 (Dallas) 08/18/2023 State Agency 60DC2-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0562 Program Scope Standard
L0580 Control Standard
▼ 321522 Plains Regional Medical Center 2100 N Martin Luther King Jr. Blvd Clovis NM 6 (Dallas) 10/19/2023 TJC 448629355 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
▼ 321525 Los Alamos Visiting Nurse Service Hospice 109 Central Park Square Los Alamos NM 6 (Dallas) 06/06/2024 State Agency 633DA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0562 Program Scope Standard
L0563 Program Data Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0566 Program Activities Standard
L0567 Program Activities Standard
L0568 Program Activities Standard
L0569 Program Activities Standard
L0570 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0576 Executive Responsibilities Standard
L0620 In-Service Training Standard
L0651 Governing Body And Administrator Standard
▼ 321525 Los Alamos Visiting Nurse Service Hospice 109 Central Park Square Los Alamos NM 6 (Dallas) 07/17/2024 State Agency 633DA-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0562 Program Scope Standard
L0563 Program Data Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0566 Program Activities Standard
L0567 Program Activities Standard
L0568 Program Activities Standard
L0569 Program Activities Standard
L0570 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0576 Executive Responsibilities Standard
L0620 In-Service Training Standard
L0651 Governing Body And Administrator Standard
▼ 321525 Los Alamos Visiting Nurse Service Hospice 109 Central Park Square Los Alamos NM 6 (Dallas) 08/26/2024 State Agency 633DA-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0562 Program Scope Standard
L0563 Program Data Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0566 Program Activities Standard
L0567 Program Activities Standard
L0568 Program Activities Standard
L0569 Program Activities Standard
L0570 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
▼ 321530 Helping Hands Hospice 624 South 2nd Street Tucumcari NM 6 (Dallas) 01/19/2022 State Agency KOC111 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan 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
L0562 Program Scope Standard
L0577 Infection Control Condition
L0579 Prevention Standard
L0580 Control Standard
L0582 Education Standard
L0588 Core Services Standard
L0680 Protection Of Information Standard
L0787 Personnel Qualification Standard
L0800 Laboratory Services Standard
▼ 321530 Helping Hands Hospice 624 South 2nd Street Tucumcari NM 6 (Dallas) 03/10/2022 State Agency KOC112 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan 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
L0562 Program Scope Standard
L0577 Infection Control Condition
L0579 Prevention Standard
L0580 Control Standard
L0582 Education Standard
L0588 Core Services Standard
L0680 Protection Of Information Standard
L0787 Personnel Qualification Standard
L0800 Laboratory Services Standard