S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

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Note: Hospice 2567s data begin starting October 2021.

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 001500 Agave Healthcare Llc 3240 E Union Hills Drive, 145 Phoenix AZ 9 (San Francisco) 04/01/2022 1132620 Initial
Deficiency Tag Deficiency Description Tag Type
L0615 Competency Evaluation Standard
L0628 Hospice Aide Assignments And Duties Standard
▼ 001501 Elite Hospice Services Inc 13201 N 35th Ave Ste B8-B Phoenix AZ 9 (San Francisco) 02/02/2022 1125428 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ 001502 Family First Hospice, Inc 11225 N 28th Dr, Ste B 111 Phoenix AZ 9 (San Francisco) 04/30/2025 1265841 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
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
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
L0556 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0693 Label Dispose Storage Drugs Standard
▼ 001502 Family First Hospice, Inc 11225 N 28th Dr, Ste B 111 Phoenix AZ 9 (San Francisco) 06/06/2025 1268486 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
▼ 001504 Vital Hc, Inc. 1729 N. Trekell Rd. Suite 122 Casa Grande AZ 9 (San Francisco) 02/06/2025 1254837 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
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
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0764 Written Agreement Standard
▼ 001505 Advocate Hospice And Palliative Care Llc 7600 N 16th St, Ste 112 Phoenix AZ 9 (San Francisco) 05/20/2022 1147929 Initial
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 001505 Advocate Hospice And Palliative Care Llc 7600 N 16th St, Ste 112 Phoenix AZ 9 (San Francisco) 02/13/2025 1261762 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0543 Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
▼ 001506 Infinite Hospice, Inc 2111 E Broadway Rd Ste 4 Tempe AZ 9 (San Francisco) 10/30/2023 6168C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0563 Program Data Standard
L0576 Executive Responsibilities Standard
L0577 Infection Control Condition
L0579 Prevention Standard
L0580 Control Standard
L0581 Control Standard
L0583 Licensed Professional Services Condition
L0584 Licensed Professional Services Standard
L0585 Licensed Professional Services Standard
L0587 Core Services Condition
L0590 Physician Services Standard
L0620 In-Service Training Standard
L0664 Medical Director Condition
L0669 Medical Director Responsibility Standard
L0681 Retention Of Records Standard
L0784 Personnel Qualification Standard
▼ 001507 Blue Sky Hospice Care, Inc. 4150 W Peoria Ave Ste B114-C Phoenix AZ 9 (San Francisco) 06/21/2022 1137380 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
▼ 001507 Blue Sky Hospice Care Inc 4150 West Peoria Ave Ste B114c Phoenix AZ 9 (San Francisco) 07/22/2024 63C6F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) Condition
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0536 Idg, Care Planning, Coordination Of Services Condition
L0559 Quality Assessment & Performance Improvement Condition
L0577 Infection Control Condition
L0583 Licensed Professional Services Condition