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
▼ 371689 A-Vow Hospice, Inc 2400 N Hemlock Circle Broken Arrow OK 6 (Dallas) 02/27/2023 State Agency 5EB34-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0562 Program Scope Standard
L0571 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0577 Infection Control Condition
L0580 Control Standard
L0581 Control Standard
L0628 Hospice Aide Assignments And Duties Standard
▼ 371689 A-Vow Hospice, Inc 2400 N Hemlock Circle Broken Arrow OK 6 (Dallas) 03/24/2023 State Agency 5EB34-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0559 Quality Assessment & Performance Improvement Condition
L0577 Infection Control Condition
▼ 371689 A-Vow Hospice, Inc 2400 N Hemlock Circle Broken Arrow OK 6 (Dallas) 08/15/2025 State Agency 1D4515-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
▼ 371690 O N H L Hospice Services, L L C 306 N. Maine St., Suite E Bristow OK 6 (Dallas) 05/03/2024 CHAP MAY0124_ZYW_501572_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0562 Program Scope Standard
L0571 Performance Improvement Projects Standard
L0591 Nursing Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0643 Training Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0676 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ 371692 Three Rivers Consulting & Management, Llc 621 South Park Drive Broken Bow OK 6 (Dallas) 06/06/2023 State Agency 60098-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0524 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0591 Nursing Services Standard
▼ 371692 Three Rivers Consulting & Management, Llc 621 South Park Drive Broken Bow OK 6 (Dallas) 08/30/2023 State Agency 60DE3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0550 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
▼ 371695 Shepherd Home Health & Hospice, Llc 525 S 30th Street Clinton OK 6 (Dallas) 05/20/2022 State Agency FDH111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
▼ 371695 Shepherd Home Health & Hospice, Llc 525 S 30th Street Clinton OK 6 (Dallas) 03/26/2025 State Agency 65BFC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
▼ 371697 Emerald First Choice Hospice Llc 120 S. Yorkshire Blvd Wagoner OK 6 (Dallas) 07/13/2023 ACHC 1180575 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ 371698 Elk City Comforting Hands Hospice Llc 401 E 3rd St, Suite B Elk City OK 6 (Dallas) 03/03/2022 TJC 440186345 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard