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
501520 Walla Walla Community Hospice 1067 Isaacs Avenue Walla Walla WA 10 (Seattle) 10/12/2023 State Agency 612B2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0784 Personnel Qualification Standard
501523 Public Hospital District No 2 11800 Ne 128th Street Suite 200 Kirkland WA 10 (Seattle) 12/11/2023 State Agency 6165D-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0100 General Requirements - Other Standard
K0271 Discharge From Exits Standard
K0281 Illumination Of Means Of Egress Standard
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0346 Fire Alarm System - Out Of Service Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0363 Corridor - Doors Standard
K0521 Hvac Standard
K0711 Evacuation And Relocation Plan Standard
K0712 Fire Drills Standard
K0908 Gas And Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0926 Gas Equipment - Qualifications And Training Standard
501523 Public Hospital District No 2 11800 Ne 128th Street Suite 200 Kirkland WA 10 (Seattle) 12/14/2023 State Agency 6165D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0580 Control Standard
501523 Public Hospital District No 2 11800 Ne 128th Street Suite 200 Kirkland WA 10 (Seattle) 02/05/2024 State Agency 6165D-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0100 General Requirements - Other Standard
K0271 Discharge From Exits Standard
K0281 Illumination Of Means Of Egress Standard
K0293 Exit Signage Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0346 Fire Alarm System - Out Of Service Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0363 Corridor - Doors Standard
K0521 Hvac Standard
K0711 Evacuation And Relocation Plan Standard
K0712 Fire Drills Standard
K0908 Gas And Vacuum Piped Systems ? Central Supply System Alarms Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0926 Gas Equipment - Qualifications And Training Standard
501523 Public Hospital District No 2 11800 Ne 128th Street Suite 200 Kirkland WA 10 (Seattle) 03/25/2024 State Agency 6165D-L3 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0271 Discharge From Exits Standard
K0281 Illumination Of Means Of Egress Standard
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0521 Hvac Standard
501523 Public Hospital District No 2 11800 Ne 128th Street Suite 200 Kirkland WA 10 (Seattle) 07/11/2024 State Agency 6165D-L4 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0271 Discharge From Exits Standard
K0281 Illumination Of Means Of Egress Standard
K0293 Exit Signage Standard
K0353 Sprinkler System - Maintenance And Testing Standard
501523 Public Hospital District No 2 11800 Ne 128th Street Suite 200 Kirkland WA 10 (Seattle) 08/20/2024 State Agency 6165D-L5 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0271 Discharge From Exits Standard
501525 Harbors Home Health And Hospice 201 7th Street Hoquiam WA 10 (Seattle) 05/18/2022 State Agency Y4B311 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0798 Federal, State, Local Laws & Regulations Standard
501526 Franciscan Hospice 2901 Bridgeport Way University Place WA 10 (Seattle) 07/10/2023 State Agency 60423-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0100 General Requirements - Other Standard
K0291 Emergency Lighting Standard
K0324 Cooking Facilities Standard
K0341 Fire Alarm System - Installation Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0346 Fire Alarm System - Out Of Service Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0354 Sprinkler System - Out Of Service Standard
K0363 Corridor - Doors Standard
K0511 Utilities - Gas And Electric Standard
K0521 Hvac Standard
K0711 Evacuation And Relocation Plan Standard
K0712 Fire Drills Standard
K0761 Maintenance, Inspection & Testing - Doors Standard
K0914 Electrical Systems - Maintenance And Testing Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
K0926 Gas Equipment - Qualifications And Training Standard
501526 Franciscan Hospice 2901 Bridgeport Way University Place WA 10 (Seattle) 07/13/2023 State Agency 60423-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0579 Prevention Standard
L0796 Criminal Background Checks Standard