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
▼ 971711 Care Hospice Llc 600 W 6th St, Fl 4, Suite 451 Fort Worth TX 6 (Dallas) 07/19/2024 CHAP JUL1724_XYZ_8547178_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0591 Nursing Services Standard
L0641 Volunteers Condition
L0647 Level Of Activity Standard
L0647 Level Of Activity Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 971711 Care Hospice Llc 600 W 6th St, Fl 4, Suite 451 Fort Worth TX 6 (Dallas) 08/26/2024 CHAP AUG2624_PTL_8547178_ Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
L0591 Nursing Services Standard
L0629 Supervision Of Hospice Aides Standard
L0641 Volunteers Condition
L0647 Level Of Activity Standard
L0647 Level Of Activity Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 971712 Acara Hospice Llc 601 Graham Rd. College Station TX 6 (Dallas) 08/14/2024 ACHC 1238257 Initial with CCN
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
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 971713 5 Star Hospice, Llc 4220 Cartwright Road , 304 Missouri City TX 6 (Dallas) 05/30/2024 CHAP MAY2824_QOL_8546860_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0579 Prevention Standard
▼ 971714 Exclusive Palliative Hospice Llc 2323 S Voss Rd Ste 510-15 Houston TX 6 (Dallas) 01/24/2025 ACHC 1253687 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0029 Development Of Communication Plan 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
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0782 Orientation And Training Of Staff Standard
▼ 971715 Spotlight Hospice Care Llc 12550 Fuqua Street, Suite 200 Houston TX 6 (Dallas) 12/02/2021 TJC 440638265 Initial
Deficiency Tag Deficiency Description Tag Type
E0009 Local, State, Tribal Collaboration Process Standard
L0512 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0674 Content Standard
L0795 Criminal Background Checks Standard
▼ 971717 Family First Home Health And Hospice Llc 7901 Traders Circle Greenville TX 6 (Dallas) 11/04/2021 ACHC 39209 Initial
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
▼ 971717 Family First Home Health And Hospice Llc 7901 Traders Circle Greenville TX 6 (Dallas) 10/16/2024 ACHC 1246785 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0677 Content Standard
▼ 971718 Golden Hospice & Healthcare Services Llc 8606 Shadowbrook Glen Trl Richmond TX 6 (Dallas) 08/15/2024 ACHC 1238990 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0500 Patients Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0507 Exercise Of Rights/Respect For Proprty/Person Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0551 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0559 Quality Assessment & Performance Improvement Standard
L0564 Program Data Standard
L0579 Prevention Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0641 Volunteers Condition
L0641 Volunteers Standard
L0645 Recruiting And Retaining Standard
L0648 Organizational Environment Condition
L0650 Serving The Hospice Patient And Family Standard
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0655 Professional Management Responsibility Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0673 Content Standard
L0677 Content Standard
L0679 Authentication Standard
L0681 Retention Of Records Standard
L0683 Discharge Or Transfer Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0690 Ordering Of Drugs Standard
L0692 Administration Of Drugs And Biologicals Standard
L0697 Label Dispose Storage Drugs Standard
L0703 Use And Mintenance Of Equipment And Supplies Standard
L0783 Personnel Qualification Condition
L0788 Personnel Qualification Standard
L0789 Personnel Qualification Standard
L0791 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ 971719 Bridgeway Hospice, Llc 825 Main St, Ste 120 Buda TX 6 (Dallas) 11/24/2021 CHAP NOV2221_APL_8546977_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0552 Review Of The Plan Of Care Standard