S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

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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
▼ 401549 Servicios De Hospicio De Adjuntas Calle Rodulfo Gonzalez 46 Suite 1 Adjuntas PR 2 (New York) 01/09/2025 State Agency 64A28-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0550 Content Of Plan Of Care Standard
L0562 Program Scope Standard
L0571 Performance Improvement Projects Standard
L0579 Prevention Standard
L0584 Licensed Professional Services Standard
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Condition
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0661 Training Standard
L0663 Training Standard
L0672 Content Standard
L0693 Label Dispose Storage Drugs Standard
L0793 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
▼ 401551 Hospicio San Francisco De Asis Inc Carr 441 Km 4 6 Bo Guaniquilla Aguada PR 2 (New York) 01/25/2024 State Agency 6205C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment 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
L0563 Program Data Standard
L0566 Program Activities Standard
L0567 Program Activities Standard
L0568 Program Activities Standard
L0569 Program Activities Standard
L0570 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0572 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0582 Education Standard
L0587 Core Services Condition
L0601 Furnishing Of Non-Core Services Condition
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Condition
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0661 Training Standard
L0662 Training Standard
L0672 Content Standard
▼ 401551 Hospicio San Francisco De Asis Inc Carr 441 Km 4 6 Bo Guaniquilla Aguada PR 2 (New York) 03/26/2024 State Agency 6205C-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment 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
L0563 Program Data Standard
L0566 Program Activities Standard
L0567 Program Activities Standard
L0568 Program Activities Standard
L0569 Program Activities Standard
L0570 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0572 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0582 Education Standard
L0587 Core Services Condition
L0601 Furnishing Of Non-Core Services Condition
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Condition
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0661 Training Standard
L0662 Training Standard
L0672 Content Standard
▼ 401552 Sendero De Luz Hospice Inc Georgetti Street 9 Altos Comerio PR 2 (New York) 12/22/2022 State Agency 5E8F0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
L0000 Initial Comments Memo
L0584 Licensed Professional Services Standard
L0598 Counseling Services Standard
▼ 401552 Sendero De Luz Hospice Inc Georgetti Street 9 Altos Comerio PR 2 (New York) 03/23/2023 State Agency 5E8F0-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0584 Licensed Professional Services Standard
L0598 Counseling Services Standard
▼ 401552 Sendero De Luz Hospice Inc Georgetti Street 9 Altos Comerio PR 2 (New York) 01/23/2025 State Agency 652C7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0579 Prevention Standard
L0784 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0827 Fire Protection Standard
▼ 401555 Healthkeepers Hospice Inc. Urb. Santa Cruz, Calle 1 B-14 Bayamon PR 2 (New York) 02/10/2022 TJC 440287805 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
▼ 401555 Healthkeepers Hospice Inc. Urb. Santa Cruz, Calle 1 B-14 Bayamon PR 2 (New York) 08/16/2024 TJC 450912045 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0039 Ep Testing Requirements Standard
L0529 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0568 Program Activities Standard
L0596 Counseling Services Condition
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0655 Professional Management Responsibility Standard
L0655 Professional Management Responsibility Standard
L0668 Recertification Of The Terminal Illness Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0690 Ordering Of Drugs Standard
L0763 Written Agreement Standard
L0795 Criminal Background Checks Standard
▼ 401555 Healthkeepers Hospice Inc. Urb. Santa Cruz, Calle 1 B-14 Bayamon PR 2 (New York) 09/19/2024 TJC 454676115 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
▼ 401555 Healthkeepers Hospice Inc. Urb. Santa Cruz, Calle 1 B-14 Bayamon PR 2 (New York) 03/12/2025 TJC 454676175 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0531 Content Of Comprehensive Assessment Condition
L0549 Content Of Plan Of Care Condition
L0559 Quality Assessment & Performance Improvement Condition
L0587 Core Services Condition
L0596 Counseling Services Standard
L0596 Counseling Services Condition
L0598 Counseling Services Standard
L0651 Governing Body And Administrator Condition
L0662 Training Standard
L0690 Ordering Of Drugs Standard