S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
341562 Cape Fear Valley Homecare And Hospice, Llc 2301 Robeson Street Suite 202 Fayetteville NC 4 (Atlanta) 11/22/2021 State Agency FX7911 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0671 Clinical Records Standard
341562 Cape Fear Valley Homecare And Hospice, Llc 2301 Robeson Street Suite 202 Fayetteville NC 4 (Atlanta) 10/21/2024 State Agency 647AA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0519 Rights Of The Patient Standard
341562 Cape Fear Valley Homecare And Hospice, Llc 2301 Robeson Street Suite 202 Fayetteville NC 4 (Atlanta) 04/08/2025 State Agency 65D19-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0557 Coordination Of Services Standard
341563 Msa Home Health & Hospice Of The Piedmont Inc 665 Carver Drive Suite B Roxboro NC 4 (Atlanta) 12/08/2022 State Agency 5DE5F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0571 Performance Improvement Projects Standard
L0661 Training Standard
L0663 Training Standard
L0798 Federal, State, Local Laws & Regulations Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
341563 Msa Home Health & Hospice Of The Piedmont Inc 665 Carver Drive Suite B Roxboro NC 4 (Atlanta) 10/16/2025 State Agency 1D9333-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0672 Content Standard
341564 Hospice Of Yancey County 856 George'S Fork Road Burnsville NC 4 (Atlanta) 09/15/2022 State Agency BSY111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0671 Clinical Records Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
341565 Hospice And Palliative Care Of The Blue Ridge 236 Hospital Dr Spruce Pine NC 4 (Atlanta) 02/03/2022 ACHC 41434 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0594 Medical Social Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
341565 Hospice And Palliative Care Of The Blue Ridge 236 Hospital Dr Spruce Pine NC 4 (Atlanta) 01/15/2025 ACHC 1253386 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
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0673 Content Standard
L0713 Inpatient Care Provided Under Arrangements Standard
341569 Liberty Home Care, Llc 420 Eastwood Road ,Suite 102 Wilmington NC 4 (Atlanta) 05/25/2022 State Agency UFJS12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0501 Patients' Rights Standard
L0557 Coordination Of Services Standard
L0591 Nursing Services Standard
L0671 Clinical Records Standard
341569 Liberty Home Care, Llc 420 Eastwood Road ,Suite 102 Wilmington NC 4 (Atlanta) 05/25/2022 State Agency 5JBO11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0533 Update Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0798 Federal, State, Local Laws & Regulations Standard