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
971627 Concho Hearts Hospice, Llc 706 Knickerbocker Rd, Suite 2 San Angelo TX 6 (Dallas) 02/01/2024 CHAP JAN3124_ZHA_8546580_ Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0626 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
971628 Briargate Healthcare Services Inc 3129 Kingsley Dr. Suite 830a Pearland TX 6 (Dallas) 04/22/2022 ACHC 42116 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0625 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
971629 Community First Hospice Care, Inc. 2600 S. Loop W. Suite #445 Houston TX 6 (Dallas) 11/03/2022 State Agency 5E1A7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0537 Idg, Care Planning, Coordination Of Services Standard
L0552 Review Of The Plan Of Care Standard
L0557 Coordination Of Services Standard
L0648 Organizational Environment Condition
L0649 Organization And Administration Of Services Standard
971631 Hospice Partnership Operating Company, L.L.C. 4408 6th Street, Suite 200 Lubbock TX 6 (Dallas) 09/27/2023 ACHC 1188276 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0695 Label Dispose Storage Drugs Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
971632 At Twilight Hospice & Palliative Care Of Tx Llc 2625 N. Josey Ln. Suite 301-B Carrollton TX 6 (Dallas) 02/22/2024 State Agency 624AE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0678 Content Standard
971634 Ally Hospice Llc 8023 Vantage Drive, Suite 560-B San Antonio TX 6 (Dallas) 01/25/2024 CHAP JAN2324_VDZ_8546655_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0672 Content Standard
L0678 Content Standard
L0774 Hospice Plan Of Care Standard
971635 St. Marys Hospice Llc 920 Stockton Dr. Allen TX 6 (Dallas) 03/12/2025 CHAP MAR1025_OFW_8549810_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0683 Discharge Or Transfer Of Care Standard
971636 Eh Of West Texas, Lp One Village Drive, Suite 354 Abilene TX 6 (Dallas) 01/05/2024 CHAP JAN0324_XMI_885222_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0676 Content Standard
971637 Hospice Of Texas, Llc 1031 Andrews Highway, Suite 203 Midland TX 6 (Dallas) 02/22/2024 ACHC 1213574 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
971638 Journey Hospice, Llc 10010 San Pedro Ave. Suite 330 San Antonio TX 6 (Dallas) 03/21/2024 ACHC 1224736 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0530 Content Of Comprehensive Assessment Standard
L0655 Professional Management Responsibility Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0679 Authentication Standard
L0788 Personnel Qualification Standard
L0795 Criminal Background Checks Standard