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
531525 Star Valley Healthcare Inc/Dba Symbii Hospice 770 S Washington St, Ste B Afton WY 8 (Denver) 04/08/2025 State Agency 651F8-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0596 Counseling Services Standard
L0641 Volunteers Condition
L0644 Role Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0693 Label Dispose Storage Drugs Standard
531527 Stillwater Hospice Of Northern Wyoming 210 N Bent Powell WY 8 (Denver) 08/17/2022 ACHC 44123 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
531527 Stillwater Hospice Of Northern Wyoming 210 N Bent Powell WY 8 (Denver) 10/31/2025 ACHC 1278052 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 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
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0561 Program Scope Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0576 Executive Responsibilities Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0653 Services Standard
531528 Cowboy Cares, Inc. 39806 Business Loop 80, Suite 2 Lyman WY 8 (Denver) 01/06/2023 ACHC 1161579 Reaccreditation
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
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
531529 Caringedge Hospice Of Casper, Llc 5870 E 2nd Avenue Casper WY 8 (Denver) 01/24/2024 CHAP JAN2224_AKC_884768_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0683 Discharge Or Transfer Of Care Standard
531530 Wyoming Home Health Inc 1103 Boxelder Dr. , Suite Jb Gillette WY 8 (Denver) 10/13/2022 CHAP OCT1122_WXV_8546792_ Initial
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0598 Counseling Services Standard
L0661 Training Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0785 Personnel Qualification Standard
531530 Wyoming Home Health Inc 1103 Boxelder Dr. , Suite Jb Gillette WY 8 (Denver) 02/09/2023 CHAP FEB0723_VSJ_8546792_ Initial
Deficiency Tag Deficiency Description Tag Type
L0591 Nursing Services Standard
531531 Eden Hospice At Cheyenne, Llc 2232 Dell Range Blvd., Ste. 304 Cheyenne WY 8 (Denver) 09/01/2023 ACHC 1188372 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 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
L0555 Coordination Of Services Standard
L0579 Prevention Condition
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
531532 Nobel Care Hospice Inc. 1607 Capitol Ave., Ste. 326 Cheyenne WY 8 (Denver) 04/03/2024 ACHC 1220039 Initial
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
551500 St. Anthony Hospice 512 E. Wilson Avenue, Suite 208 Glendale CA 9 (San Francisco) 03/25/2022 TJC 441777885 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard