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
▼ 341539 Medical Services Of America Inc, 400 Shadowline Drive, Suite 102 Boone NC 4 (Atlanta) 09/20/2023 State Agency 604A8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0585 Licensed Professional Services Standard
L0678 Content Standard
▼ 341540 Hot Springs Health Program, Inc 590 Medical Park Drive Marshall NC 4 (Atlanta) 02/10/2022 State Agency Z6XQ11 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
L0556 Coordination Of Services Standard
L0594 Medical Social Services Standard
L0678 Content Standard
L0798 Federal, State, Local Laws & Regulations Standard
▼ 341541 Healthkeeperz 1840 Owen Drive #103 Fayetteville NC 4 (Atlanta) 05/18/2022 State Agency X2GF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
▼ 341541 Healthkeeperz 1840 Owen Drive #103 Fayetteville NC 4 (Atlanta) 03/19/2025 State Agency 6550A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0514 Rights Of The Patient Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0598 Counseling Services Standard
▼ 341543 Health Horizons, Inc. 1100 Pine Run Drive Lumberton NC 4 (Atlanta) 05/27/2022 ACHC 42299 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0772 Written Agreement Standard
L0773 Hospice Plan Of Care Standard
▼ 341545 Craven Co Hlth Dept Hh & Hospice 2818 Neuse Blvd New Bern NC 4 (Atlanta) 10/20/2021 State Agency 9UJQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0547 Content Of Plan Of Care Standard
L0671 Clinical Records Standard
▼ 341545 Craven Co Hlth Dept Hh & Hospice 2818 Neuse Blvd New Bern NC 4 (Atlanta) 12/07/2021 State Agency 1B3U11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0557 Coordination Of Services Standard
▼ 341545 Craven Co Hlth Dept Hh & Hospice 2818 Neuse Blvd New Bern NC 4 (Atlanta) 10/09/2024 State Agency 632B8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 341546 Hospice Of Surry County, Inc. 105 N. Crutchfield Street Unit #2 Dobson NC 4 (Atlanta) 06/23/2022 ACHC 43432 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
L0551 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0728 Fire Protection Standard
▼ 341546 Hospice Of Surry County 105 N. Crutchfield Street, Unit # 2 Dobson NC 4 (Atlanta) 06/06/2025 CHAP JUN0325_NMV_8551073_ Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0838 N/A Standard