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
341598 Amedisys Hospice Care 201 E Water Street Plymouth NC 4 (Atlanta) 03/14/2023 State Agency 5DE5D-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
341598 Amedisys Hospice Care 201 E Water Street Plymouth NC 4 (Atlanta) 12/03/2025 State Agency 1DA30F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0591 Nursing Services Standard
L0647 Level Of Activity Standard
341599 Wiregrass Hospice Of South Carolina, Llc 136 Roxboro Rd Oxford NC 4 (Atlanta) 04/24/2024 ACHC 1222516 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 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
L0647 Level Of Activity Standard
L0677 Content Standard
L0678 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
341600 Msa Home Health And Hospice Of Nc., Inc. 564 W Mclean Street ,Suite B Saint Pauls NC 4 (Atlanta) 01/26/2022 State Agency 2KY111 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0672 Content Standard
L0798 Federal, State, Local Laws & Regulations Standard
341600 Msa Home Health And Hospice Of Nc., Inc. 564 W Mclean Street ,Suite B Saint Pauls NC 4 (Atlanta) 07/30/2024 State Agency 63C08-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
L0664 Medical Director Condition
L0669 Medical Director Responsibility Standard
341600 Msa Home Health And Hospice Of Nc., Inc. 564 W Mclean Street ,Suite B Saint Pauls NC 4 (Atlanta) 09/17/2024 State Agency 63C08-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
L0664 Medical Director Condition
L0669 Medical Director Responsibility Standard
341600 Msa Home Health And Hospice Of Nc., Inc. 564 W Mclean Street ,Suite B Saint Pauls NC 4 (Atlanta) 12/12/2024 State Agency 64D3A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0548 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0596 Counseling Services Standard
L0643 Training Standard
341601 Novant Health Rowan Medical Center Llc 612 Mocksville Avenue Salisbury NC 4 (Atlanta) 11/10/2023 TJC 446996775 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0531 Content Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
341602 Home Health And Hospice Care, Inc-Fayetteville 1367 Walter Reed Rd Suite 102 Fayetteville NC 4 (Atlanta) 05/17/2024 ACHC 1225095 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0663 Training Standard
L0679 Authentication Standard
341603 Well Care Hospice, Inc 146a Dornach Way Advance NC 4 (Atlanta) 02/09/2023 TJC 442322675 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0588 Core Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0665 Medical Director Condition
L0671 Clinical Records Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0795 Criminal Background Checks Standard