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
▼ 381515 Partners In Care, Inc. 2075 Ne Wyatt Court, Building B Bend OR 10 (Seattle) 09/06/2024 State Agency 63E8C-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0579 Prevention Standard
L9999 Final Observations Memo
▼ 381515 Partners In Care, Inc. 2075 Ne Wyatt Court, Building B Bend OR 10 (Seattle) 11/19/2024 State Agency 63E8C-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0007 Ep Program Patient Population Standard
K0000 Initial Comments Memo
K0223 Doors With Self-Closing Devices Standard
K0372 Subdivision Of Building Spaces ? Smoke Barrier Construction Standard
K0712 Fire Drills Standard
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
▼ 381516 Willamette Valley Hospice 1015 3rd St Nw Salem OR 10 (Seattle) 04/19/2024 CHAP APR1524_OEU_883899_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
▼ 381517 Albany General Hospital 4600 Evergreen Place, Se Albany OR 10 (Seattle) 08/02/2024 State Agency 63CF5-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0015 Subsistence Needs For Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0031 Emergency Officials Contact Information Standard
E0042 Integrated Ep Program Standard
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
▼ 381517 Albany General Hospital 4600 Evergreen Place, Se Albany OR 10 (Seattle) 08/23/2024 State Agency 63CF5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L9999 Final Observations Memo
▼ 381518 Amedisys Oregon, Llc 1813 West Harvard Avenue, Suite 220 Roseburg OR 10 (Seattle) 11/03/2022 State Agency 5E42D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E9999 Final Observations Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L9999 Final Observations Memo
▼ 381518 Amedisys Oregon, L.L.C. 1813 West Harvard Ave, Suite 220 Roseburg OR 10 (Seattle) 08/21/2025 ACHC 1271234 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0677 Content Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 381519 Lumina Hospice And Palliative Care 720 Sw 4th Street Corvallis OR 10 (Seattle) 04/26/2023 State Agency 5FA28-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard
L9999 Final Observations Memo
▼ 381521 Commonspirit Oregon 2675 Nw Edenbower Blvd Roseburg OR 10 (Seattle) 09/21/2023 ACHC 1188266 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 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
L0553 Review Of The Plan Of Care Standard
L0574 Executive Responsibilities Standard
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Standard
L0625 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Standard
L0664 Medical Director Standard
L0677 Content Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
▼ 381524 Pacific Home Care Associates, Inc 375 Park Avenue, Suite 6 Coos Bay OR 10 (Seattle) 10/08/2024 State Agency 643D3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E9999 Final Observations Memo
L0000 Initial Comments Memo
L0646 Cost Saving Standard
L9999 Final Observations Memo