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
▼ 341528 Agape Care North Carolina, Llc 374 Hudlow Rd. Forest City NC 4 (Atlanta) 01/19/2024 CHAP JAN1624_WWJ_8548684_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0676 Content Standard
L0698 Label Dispose Storage Drugs Standard
L0834 N/A Standard
▼ 341528 Agape Care North Carolina Llc 1074 Ozone Drive Saluda NC 4 (Atlanta) 08/11/2025 State Agency 1D3C53-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0513 Rights Of The Patient Standard
▼ 341530 Hospice Of Henderson County Inc 571 South Allen Road Flat Rock NC 4 (Atlanta) 11/30/2022 State Agency 5E6E3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0557 Coordination Of Services Standard
L0591 Nursing Services Standard
▼ 341530 Hospice Of Henderson County 571 South Allen Road Flat Rock NC 4 (Atlanta) 12/20/2023 TJC 448085635 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0695 Label Dispose Storage Drugs Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0795 Criminal Background Checks Standard
▼ 341531 Unc Hospice 211 Friday Center Drive ,Suite 2041 Chapel Hill NC 4 (Atlanta) 11/06/2023 State Agency 616FC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0513 Rights Of The Patient Standard
L0514 Rights Of The Patient Standard
▼ 341532 North Carolina In-Home Partner-Vii Llc 1901 Tarboro St Sw Wilson NC 4 (Atlanta) 11/20/2024 State Agency 64B65-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0555 Coordination Of Services Standard
▼ 341533 Medical Services Of America, Inc. 1955 Newland Hwy Newland NC 4 (Atlanta) 12/02/2021 State Agency 84IL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
▼ 341533 Medical Services Of America, Inc. 1955 Newland Hwy Newland NC 4 (Atlanta) 06/12/2024 State Agency 635CA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0552 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 341533 Medical Services Of America, Inc. 1955 Newland Hwy Newland NC 4 (Atlanta) 09/16/2024 State Agency 635CA-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0552 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 341534 Firsthealth Of The Carolinas 251 Campground Road West End NC 4 (Atlanta) 05/20/2022 ACHC 42121 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard