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
▼ 741760 Pnc Palliative Hospice Llc 8321 Woodward Street Houston TX 6 (Dallas) 01/24/2025 ACHC 1253414 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0581 Control Standard
L0587 Core Services Condition
L0587 Core Services Standard
L0596 Counseling Services Standard
L0615 Competency Evaluation Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0662 Training Standard
L0663 Training Standard
L0670 Clinical Records Condition
L0676 Content Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0714 Inpatient Care Provided Under Arrangements Standard
L0716 Inpatient Care Provided Under Arrangements Standard
▼ 741763 Crystal Hospice Care Llc 801 E Campbell Rd, Suite 142 Richardson TX 6 (Dallas) 08/29/2024 CHAP AUG2724_HZL_884064_H 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
L0548 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0646 Cost Saving Standard
L0652 Services Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 741764 Votive Hospice Llc 1204 N Llano St Fredericksburg TX 6 (Dallas) 06/10/2022 TJC 437624805 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0025 Arrangement With Other Facilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0560 Quality Assessment & Performance Improvement Condition
L0579 Prevention Standard
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0596 Counseling Services Standard
L0646 Cost Saving Standard
L0651 Governing Body And Administrator Condition
L0655 Professional Management Responsibility Standard
L0663 Training Standard
L0665 Medical Director Condition
L0671 Clinical Records Condition
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0716 Inpatient Care Provided Under Arrangements Standard
L0774 Hospice Plan Of Care Standard
L0784 Personnel Qualification Standard
L0798 Federal, State, Local Laws & Regulations Condition
▼ 741764 Votive Hospice Llc 1204 N Llano St Fredericksburg TX 6 (Dallas) 08/17/2022 TJC 443958065 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0591 Nursing Services Condition
L0594 Medical Social Services Standard
L0646 Cost Saving Standard
L0651 Governing Body And Administrator Condition
L0665 Medical Director Condition
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0784 Personnel Qualification Condition
L0795 Criminal Background Checks Standard
▼ 741764 Votive Hospice Llc 1204 N Llano St Fredericksburg TX 6 (Dallas) 06/05/2025 TJC 454937305 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0523 Timeframe For Completion Of Assessment Standard
L0533 Update Of Comprehensive Assessment Condition
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0564 Program Data Standard
L0565 Program Data Standard
L0570 Program Activities Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0580 Control Standard
L0581 Control Standard
L0629 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0682 Discharge Or Transfer Of Care Standard
L0833 N/A Standard
▼ 741764 Votive Hospice Llc 1204 N Llano St Fredericksburg TX 6 (Dallas) 07/17/2025 TJC 458608915 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
▼ 741765 The Medical Team, Inc. - Brownsville 240 Haine Drive Harlingen TX 6 (Dallas) 06/16/2022 TJC 438206295 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0529 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Condition
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0564 Program Data Standard
L0564 Program Data Standard
L0651 Governing Body And Administrator Condition
▼ 741765 The Medical Team, Inc. - Brownsville 240 Haine Drive Harlingen TX 6 (Dallas) 09/21/2022 TJC 443924345 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
▼ 741766 Mi Casa Hospice, Llc 701 N Texas Blvd., Suite B Alice TX 6 (Dallas) 01/26/2024 CHAP JAN2424_ZOU_883332_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
▼ 741768 Sahara Hospice Care Llc 140 Eldridge Rd, Suite B 1 Sugar Land TX 6 (Dallas) 10/13/2021 CHAP OCT1121_MCP_883917_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard