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
851528 Lighthouse Community Hospice, The 1029 Merredith Park Drive Mcdonough GA 4 (Atlanta) 11/27/2024 State Agency 64C6E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0647 Level Of Activity Standard
851529 Passionate Care Hospice And Palliative Care, Llc 2272 Azalea Drive Suite A Lawrenceville GA 4 (Atlanta) 08/02/2023 State Agency 60A43-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0579 Prevention Standard
L0613 Hospice Aide Training Standard
851531 Hearth Hospice Of Brunswick, Llc 1111 Glynco Parkway Ste 210 Brunswick GA 4 (Atlanta) 05/30/2025 ACHC 1268429 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0679 Authentication Standard
L0773 Hospice Plan Of Care Standard
851532 Southern Comfort Hospice, Llc 100 Crescent Centre Pkwy, Suite 395 Tucker GA 4 (Atlanta) 09/13/2023 State Agency 60FC2-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0541 Approach To Service Delivery Standard
L0579 Prevention Standard
L0595 Counseling Services Standard
851533 Affinity Healthcare Llc 1111 Alderman Dr, Suite 240 Alpharetta GA 4 (Atlanta) 04/20/2023 State Agency 5F968-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0544 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0596 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0668 Recertification Of The Terminal Illness Standard
851535 Willowbrook Hospice Llc 162 W Main St, Suite 306 Cartersville GA 4 (Atlanta) 08/24/2023 CHAP AUG2123_YCG_8549000_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0548 Content Of Plan Of Care Standard
L0628 Hospice Aide Assignments And Duties Standard
851536 Legacy Hospice, Llc 4153 Flat Shoals Parkway, Building C, Suite 312d Decatur GA 4 (Atlanta) 07/19/2023 State Agency 607F1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
851537 Angel Heart Hospice And Palliative Care 2302 Parklake Dr, Ste 568 Atlanta GA 4 (Atlanta) 12/17/2021 State Agency SCZD11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0537 Idg, Care Planning, Coordination Of Services Standard
L0540 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0574 Executive Responsibilities Standard
L0583 Licensed Professional Services Condition
L0584 Licensed Professional Services Standard
L0585 Licensed Professional Services Standard
L0586 Licensed Professional Services Standard
L0587 Core Services Condition
L0588 Core Services Standard
L0589 Core Services Standard
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0629 Supervision Of Hospice Aides Standard
L0648 Organizational Environment Condition
L0649 Organization And Administration Of Services Standard
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0653 Services Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0671 Clinical Records Standard
L0733 Infection Control Standard
L0783 Personnel Qualification Condition
L0795 Criminal Background Checks Standard
851540 Caritas Hospice Care, Llc 800 Old Dawson Village Road Unit 20 Dawsonville GA 4 (Atlanta) 02/07/2024 State Agency 62390-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
851542 Legacy Hospice Ga, Llc 106 Shoppers Way, Suite 111 Brunswick GA 4 (Atlanta) 05/17/2023 State Agency 5FD77-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0660 Hospice Multiple Locations Standard