S&C QCOR Hospice 2567s
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Hospice 2567s
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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
▼ 461548 Moniker Hospice Services Of Salt Lake City, Inc. 1751 W Alexander St, Suite 107 West Valley City UT 8 (Denver) 04/13/2022 State Agency QRIQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0615 Competency Evaluation Standard
L0651 Governing Body And Administrator Standard
L0692 Administration Of Drugs And Biologicals Standard
▼ 461548 Moniker Hospice Services Of Salt Lake City, Inc. 1751 W Alexander St, Suite 107 West Valley City UT 8 (Denver) 09/13/2022 State Agency QRIQ12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0615 Competency Evaluation Standard
L0651 Governing Body And Administrator Standard
L0692 Administration Of Drugs And Biologicals Standard
▼ 461556 Tender Care Hospice, Llc 1751 W. Alexander St., Suite 106 West Valley City UT 8 (Denver) 07/12/2024 CHAP JUL0924_MHP_8548268_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0543 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
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0632 Supervision Of Hospice Aides Standard
L0678 Content Standard
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0762 Professional Management Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0781 Coordination Of Services Standard
▼ 461556 Tender Care Hospice, Llc 1751 W. Alexander St., Suite 106 West Valley City UT 8 (Denver) 08/23/2024 CHAP AUG2224_LZO_8548268_ Follow-up
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ 461560 Good Shepherd Home Care And Hospice Of Eastern Utah, Inc. 1680 West Hwy 40, Suite 104 Vernal UT 8 (Denver) 04/21/2022 State Agency BVI111 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0587 Core Services Condition
L0588 Core Services Standard
L0595 Counseling Services Standard
▼ 461560 Good Shepherd Home Care And Hospice Of Eastern Utah, Inc. 1680 West Hwy 40, Suite 104 Vernal UT 8 (Denver) 06/14/2022 State Agency BVI112 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0587 Core Services Condition
L0588 Core Services Standard
L0595 Counseling Services Standard
▼ 461566 Bristol Hospice - Utah, Llc 1638 North Washington Boulevard Ogden UT 8 (Denver) 12/29/2021 State Agency XQO811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0671 Clinical Records Standard
L0678 Content Standard
▼ 461566 Bristol Hospice - Utah, Llc 1638 North Washington Boulevard Ogden UT 8 (Denver) 01/12/2022 State Agency XQO812 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0671 Clinical Records Standard
L0678 Content Standard
▼ 461571 Primrose Hospice Inc 286 North Gateway Drive, Suite 101 Providence UT 8 (Denver) 04/11/2024 State Agency 62C4C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
▼ 461571 Primrose Hospice Inc 286 North Gateway Drive, Suite 101 Providence UT 8 (Denver) 05/14/2024 State Agency 62C4C-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard