S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
441534 Adventa Hospice, Llc 1500 West Elk Avenue, Suite 110 Elizabethton TN 4 (Atlanta) 06/23/2023 ACHC 1177696 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0544 Plan Of Care Standard
L0545 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
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
441542 Covenant Homecare 3001 Lake Brook Blvd. , Suite 101 Knoxville TN 4 (Atlanta) 07/14/2023 CHAP JUL1023_VRK_501262_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
441545 Tnmo Healthcare, Llc 7135 Charlotte Pike, Ste. 200 Nashville TN 4 (Atlanta) 10/25/2021 State Agency 8APW12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
441545 Tnmo Healthcare, Llc 7135 Charlotte Pike, Ste. 200 Nashville TN 4 (Atlanta) 04/20/2022 State Agency V8RF11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0553 Review Of The Plan Of Care Standard
L0556 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0563 Program Data Standard
441545 Tnmo Healthcare, Llc 7135 Charlotte Pike, Ste. 200 Nashville TN 4 (Atlanta) 05/17/2022 State Agency V8RF12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0553 Review Of The Plan Of Care Standard
L0556 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0563 Program Data Standard
441545 Tnmo Healthcare, Llc 7135 Charlotte Pike, Suite 200 Nashville TN 4 (Atlanta) 06/20/2024 ACHC 1232858 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 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
L0550 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
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0673 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
441548 Henry County Medical Center Hospice 311 East Wood Street Paris TN 4 (Atlanta) 01/20/2023 State Agency 5ED6B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0598 Counseling Services Standard
441548 West Tennessee Healthcare Henry County Hospital 301 Tyson Avenue Paris TN 4 (Atlanta) 02/09/2024 TJC 449530315 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0564 Program Data Standard
L0564 Program Data Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0796 Criminal Background Checks Standard
441548 West Tennessee Healthcare Henry County Hospital 301 Tyson Avenue Paris TN 4 (Atlanta) 01/23/2025 TJC 452201435 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
441550 Smoky Mountain Home Health And Hospice, I N C 222 Heritage Blvd Newport TN 4 (Atlanta) 03/12/2025 State Agency 659CA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard