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
451536 Vitas Healthcare Corporation 3131 Eastside St, Ste 200 Houston TX 6 (Dallas) 05/08/2024 CHAP MAY0124_KYQ_8549729_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0525 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0628 Hospice Aide Assignments And Duties Standard
L0834 N/A Standard
451537 Hospice In The Pines, Inc. 1504 West Frank Avenue Lufkin TX 6 (Dallas) 02/04/2022 ACHC 40981 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0522 Initial Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0677 Content Standard
L0679 Authentication Standard
L0774 Hospice Plan Of Care Standard
451537 Hospice In The Pines, Inc. 1504 West Frank Avenue Lufkin TX 6 (Dallas) 02/21/2025 ACHC 1254859 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery 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
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0679 Authentication Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
L0827 N/A Standard
L0827 N/A Standard
L0827 N/A Standard
451539 Hendrick Hospice Care Inc 1651 Pine Street Abilene TX 6 (Dallas) 03/16/2023 State Agency 5EFE5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0513 Rights Of The Patient Standard
L0524 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0557 Coordination Of Services Standard
L0678 Content Standard
451541 Guadalupe Regional Medical Center 1215 East Court Street Seguin TX 6 (Dallas) 05/13/2022 TJC 438824465 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0581 Control Standard
L0581 Control Standard
L0668 Recertification Of The Terminal Illness Standard
L0674 Content Standard
L0685 Retrieval Of Clinical Records Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
451541 Guadalupe Regional Medical Center 1215 East Court Street Seguin TX 6 (Dallas) 04/10/2025 TJC 454454955 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0663 Training Standard
451542 Family Hospice, Ltd. 2626 South 37th Street, B Temple TX 6 (Dallas) 03/29/2023 ACHC 1169077 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0025 Arrangement With Other Facilities Standard
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
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0677 Content Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
451547 Hospice Brazos Valley, Inc. 502 W. 26th Street Bryan TX 6 (Dallas) 10/22/2021 CHAP OCT1821_SGB_500798_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0683 Discharge Or Transfer Of Care Standard
L0781 Coordination Of Services Standard
L0795 Criminal Background Checks Standard
451553 Vitas Healthcare Of Texas, L.P. 5651 Bridge Street Fort Worth TX 6 (Dallas) 10/02/2023 State Agency 61093-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0632 Supervision Of Hospice Aides Standard
L0678 Content Standard
451553 Vitas Healthcare Of Texas, L.P. 5651 Bridge Street Fort Worth TX 6 (Dallas) 02/27/2025 State Agency 656DD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0549 Content Of Plan Of Care Standard
L0557 Coordination Of Services Standard