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
A91582 Gencare Hospice Llc 5215 Spruce St Bellaire TX 6 (Dallas) 02/23/2023 CHAP FEB2123_PFH_8548455_ Initial
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
L0645 Recruiting And Retaining Standard
A91582 Gencare Hospice Llc 5215 Spruce St Bellaire TX 6 (Dallas) 04/06/2023 CHAP APR0423_TIV_8548455_ Initial
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
A91583 Bespoke Hospice Care Llc 9001 Airport Freeway, Suite 580 North Richland Hills TX 6 (Dallas) 03/28/2023 ACHC 1169032 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
L0556 Coordination Of Services Standard
A91584 Quiet Waters Hospice, Llc 10707 Corporate Drive Suite 114 Stafford TX 6 (Dallas) 02/28/2023 ACHC 1166258 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
L0555 Coordination Of Services Standard
A91587 Pearl Hospice Llc 2665 Villa Creek Drive , Suite 206p Farmers Branch TX 6 (Dallas) 12/15/2022 CHAP DEC1322_KSE_8548558_ Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0679 Authentication Standard
A91588 Light House Hospice Care Services 19903 Sonterra Lane Richmond TX 6 (Dallas) 02/03/2023 ACHC 1163786 Initial
Deficiency Tag Deficiency Description Tag Type
E0030 Names And Contact Information Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update 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
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0715 Inpatient Care Provided Under Arrangements Standard
L0764 Written Agreement Standard
L0765 Written Agreement Standard
L0767 Written Agreement Standard
L0768 Written Agreement Standard
L0769 Written Agreement Standard
L0772 Written Agreement Standard
A91589 Charis Health And Hospice 2340 E Trinity Mills Rd, Suite 362 Carrollton TX 6 (Dallas) 05/12/2022 TJC 440391355 Initial
Deficiency Tag Deficiency Description Tag Type
E0016 Hospice Follow Up For Staff Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
L0502 Notice Of Rights And Responsibilities Standard
L0531 Content Of Comprehensive Assessment Standard
L0537 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0598 Counseling Services Standard
L0651 Governing Body And Administrator Condition
L0798 Federal, State, Local Laws & Regulations Condition
A91589 Charis Health And Hospice 2340 E Trinity Mills Rd, Suite 362 Carrollton TX 6 (Dallas) 02/15/2023 TJC 443522335 Initial
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
A91591 Anchored By Grace Hospice Care, Inc. 2819 Nw Loop 410, Suite P San Antonio TX 6 (Dallas) 09/01/2022 CHAP AUG3022_URE_8547923_ Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
A91591 Anchored By Grace Hospice Care, Inc. 2819 Nw Loop 410, Suite P San Antonio TX 6 (Dallas) 07/03/2025 CHAP JUN3025_HOF_8547923_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0579 Prevention Standard
L0598 Counseling Services Standard
L0663 Training Standard
L0678 Content Standard