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
▼ 381580 Signature Hospice Bend, Llc 454 Ne Revere Avenue Bend OR 10 (Seattle) 07/06/2022 ACHC 43966 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0673 Content Standard
L0679 Authentication Standard
▼ 381581 Heart 2 Heart Hospice Care Llc 14020 Se Johnson Rd, Suite 101 Milwaukie OR 10 (Seattle) 11/04/2022 CHAP NOV0222_IIU_8548213_ Initial
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
▼ 381581 Heart 2 Heart Hospice Care Llc 14020 Se Johnson Rd, Suite 101 Milwaukie OR 10 (Seattle) 08/22/2025 CHAP AUG1925_HUB_8548213_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 381582 Rogue River Healthcare Llc 402 Se G Street Grants Pass OR 10 (Seattle) 02/08/2023 ACHC 1163789 Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
▼ 381583 Signature Hospice Oregon Coast, Llc 794 Se Hwy 101 Lincoln City OR 10 (Seattle) 08/11/2022 ACHC 44154 Initial
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
L0536 Idg, Care Planning, Coordination Of Services Condition
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
L0579 Prevention Standard
L0596 Counseling Services Standard
L0662 Training Standard
L0663 Training Standard
▼ 381583 Signature Hospice Oregon Coast, Llc 794 Se Hwy 101 Lincoln City OR 10 (Seattle) 11/30/2022 ACHC 1158852 Initial
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
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ 381585 Primrose Hospice Care Inc 4850 Sw Scholls Ferry Rd Portland OR 10 (Seattle) 04/27/2023 ACHC 1172453 Initial
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0663 Training Standard
L0673 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 381586 Csm Llc 18615 Willamette Drive Suite 100 West Linn OR 10 (Seattle) 06/30/2023 ACHC 1180064 Initial
Deficiency Tag Deficiency Description Tag Type
L0676 Content Standard
▼ 381587 Adams And Gray, Inc 4560 Se International Way, Suite 100 Milwaukie OR 10 (Seattle) 09/13/2023 CHAP SEP1123_IDF_8548060_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ 381588 Engrace Hospice Llc 512 Sw Quinney Place Pendleton OR 10 (Seattle) 06/28/2023 CHAP JUN2623_YXY_8549017_ Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0579 Prevention Standard
L0628 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0678 Content Standard