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
461635 Serenity Hospice Of Utah Llc 627 W 4000 N Pleasant Grove UT 8 (Denver) 08/10/2023 CHAP AUG0823_HKE_8549098_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
461637 Elite Hospice Llc 3333 N Digital Dr, 400d Lehi UT 8 (Denver) 07/26/2024 CHAP JUL2424_DKT_8549579_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
461640 Desert Haven Hospice, Llc 85 N 300 W. #C Washington UT 8 (Denver) 06/18/2025 TJC 454970255 Initial
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0581 Control Standard
L0596 Counseling Services Standard
L0598 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0655 Professional Management Responsibility Standard
L0662 Training Standard
L0795 Criminal Background Checks Standard
467354 Ahc Home Health Of St. George, Llc 1934 E Riverside Dr St. George UT 8 (Denver) 08/23/2022 ACHC 44403 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0774 Hospice Plan Of Care Standard
471506 Visiting Nurse Association And Hospice Of Vermont And New Hampshire, Inc. 88 Prospect St White River Junction VT 1 (Boston) 03/20/2025 ACHC 1259854 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0781 Coordination Of Services Standard
471507 Vna & Hospice Of Southwest Region, Inc. 7 Albert Cree Drive Rutland VT 1 (Boston) 01/15/2025 State Agency 64E9F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
L0000 Initial Comments Memo
L0667 Initial Certification Of Terminal Illness Standard
471510 Bayada Home Health Care, Inc. 316 Main St., Unit Eh-6 Norwich VT 1 (Boston) 01/31/2025 CHAP JAN2725_ZDZ_502021_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
L0644 Role Standard
L0647 Level Of Activity Standard
L0678 Content Standard
481501 Continuum Care, Inc Princesse Professional Center Christiansted VI 2 (New York) 06/09/2023 State Agency 601F7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0579 Prevention Standard
481501 Continuum Care, Inc Princesse Professional Center Christiansted VI 2 (New York) 01/30/2024 State Agency 601F7-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0579 Prevention Standard
481504 Tropical Health Llc, A Health And Hospice Service Company 7 And 8 Altona & Welgunst Suite 302 St Thomas VI 2 (New York) 03/03/2023 ACHC 1166452 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Standard
E0001 Establishment Of The Emergency Program (Ep) Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population 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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0547 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
L0557 Coordination Of Services Condition
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0576 Executive Responsibilities Standard
L0578 Infection Control Standard
L0579 Prevention Standard
L0580 Control Standard
L0587 Core Services Condition
L0588 Core Services Standard
L0596 Counseling Services Standard
L0596 Counseling Services Standard
L0597 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0641 Volunteers Condition
L0642 Volunteers Standard
L0643 Training Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0649 Organization And Administration Of Services Standard
L0651 Governing Body And Administrator Standard
L0661 Training Standard
L0663 Training Standard
L0663 Training Standard
L0668 Recertification Of The Terminal Illness Standard
L0676 Content Standard
L0681 Retention Of Records Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0694 Label Dispose Storage Drugs Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
L0787 Personnel Qualification Standard
L0788 Personnel Qualification Standard
L0789 Personnel Qualification Standard
L0793 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
L0799 Multiple Locations Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard