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
451703 Trinity Hospice Of Texas, Llc 100 E Hubbard St., Suite 101 Mineral Wells TX 6 (Dallas) 02/10/2023 ACHC 1163802 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
451705 Odyssey Healthcare Operating A Lp 10767 Gateway Blvd W, Ste 400 El Paso TX 6 (Dallas) 12/13/2022 State Agency 5E80A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
451705 Odyssey Healthcare Operating A, Lp 10767 W. Gateway Blvd., Suite 400 El Paso TX 6 (Dallas) 03/02/2023 ACHC 1166263 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
451707 Odyssey Healthcare Operating A, Lp 2400 Crockett Drive Suite 300 Brownwood TX 6 (Dallas) 12/13/2021 State Agency PPTK11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0514 Rights Of The Patient Standard
L0517 Rights Of The Patient Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
451707 Odyssey Healthcare Operating A, Lp 2400 Crockett Drive Suite 300 Brownwood TX 6 (Dallas) 01/24/2022 State Agency PPTK12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard
L0514 Rights Of The Patient Standard
L0517 Rights Of The Patient Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
451707 Odyssey Healthcare Operating A, Lp 2400 Crockett Drive, 300 Brownwood TX 6 (Dallas) 02/07/2023 ACHC 1163804 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0781 Coordination Of Services Standard
451709 Traditions Hospice Of Tomball, Llc 16730 North Eldridge Pkwy, Suite A Tomball TX 6 (Dallas) 03/30/2023 TJC 445444035 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0694 Label Dispose Storage Drugs Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
451713 Community Healthcare Of Texas 6700 Sanger Ave Waco TX 6 (Dallas) 11/17/2023 CHAP NOV1523_POG_500332_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0701 Use And Mintenance Of Equipment And Supplies Standard
L0774 Hospice Plan Of Care Standard
L0778 Coordination Of Services Standard
L0781 Coordination Of Services Standard
L0795 Criminal Background Checks Standard
L0820 N/A Condition
L0825 N/A Standard
L0827 N/A Standard
L0834 N/A Standard
L0835 N/A Standard
L0838 N/A Standard
451713 Community Healthcare Of Texas 6700 Sanger Ave Waco TX 6 (Dallas) 12/20/2023 CHAP DEC1923_UGM_500332_H Follow-up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
451715 Odyssey Healthcare Operating A, Lp 7320 North Mopac Expressway, Suite 300 Austin TX 6 (Dallas) 01/19/2023 ACHC 1161574 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0545 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
L0579 Prevention Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0782 Orientation And Training Of Staff Standard
L0796 Criminal Background Checks Standard
L0801 Laboratory Services Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard