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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 041501 Hospice Of The Ozarks 811 Burnett Drive Mountain Home AR 6 (Dallas) 09/15/2022 4N9521 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0325 Alcohol Based Hand Rub Dispenser (Abhr) Standard
K0781 Portable Space Heaters Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 041501 Hospice Of The Ozarks 811 Burnett Drive Mountain Home AR 6 (Dallas) 10/12/2022 4N95-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0537 Idg, Care Planning, Coordination Of Services Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0598 Counseling Services Standard
▼ 041501 Hospice Of The Ozarks 811 Burnett Drive Mountain Home AR 6 (Dallas) 08/15/2025 1D452A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
▼ 041501 Hospice Of The Ozarks 811 Burnett Drive Mountain Home AR 6 (Dallas) 09/08/2025 1D452A-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
▼ 041502 Area Agency On Aging Of Western Arkansas, Inc. 3600 Wheeler Ave Ste 2 Fort Smith AR 6 (Dallas) 04/19/2024 62DA8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0539 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
▼ 041502 Area Agency On Aging Of Western Arkansas, Inc. 3600 Wheeler Ave Ste 2 Fort Smith AR 6 (Dallas) 05/13/2024 62DA8-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0539 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
▼ 041504 Mercy Hospital Fort Smith 6801 Rogers Ave. Fort Smith AR 6 (Dallas) 01/18/2022 0X4T22 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0904 Gas And Vacuum Piped Systems ? Warning Systems Standard
K0921 Electrical Equipment ? Testing And Maintenance Requirements Standard
▼ 041504 Mercy Hospital Fort Smith 6801 Rogers Ave. Fort Smith AR 6 (Dallas) 11/10/2022 5E464-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0557 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0734 Sanitary Environment Standard
▼ 041504 Mercy Hospital Fort Smith 6801 Rogers Ave. Fort Smith AR 6 (Dallas) 12/14/2022 5E464-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0557 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0734 Sanitary Environment Standard
▼ 041507 Patient's Choice Hospice Llc 4200 N Washington St, Suite 2 Forrest City AR 6 (Dallas) 05/29/2024 6332D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0547 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
L0598 Counseling Services Standard
L0644 Role Standard
L0647 Level Of Activity Standard