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
▼ 031681 Reflections Hospice Of Arizona North, Llc 105 North Pasadena Street, Suite 3 Gilbert AZ 9 (San Francisco) 04/24/2024 62D62-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0030 Names And Contact Information Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
▼ 031682 Ahc Home Health & Hospice Of Arizona, Llc 2045 S Vineyard, Ste 127 Mesa AZ 9 (San Francisco) 12/18/2023 1204259 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
▼ 031683 Everest Hospice 14970 W. Indian School Rd., Suite 230 Goodyear AZ 9 (San Francisco) 12/13/2022 5E710-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0508 Exercise Of Rights/Respect For Proprty/Person Standard
L0649 Organization And Administration Of Services Standard
L0653 Services Standard
L0721 Staffing Standard
▼ 031683 Everest Hospice 14970 W. Indian School Rd., Suite 230 Goodyear AZ 9 (San Francisco) 06/28/2024 63633-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0559 Quality Assessment & Performance Improvement Condition
L0566 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0577 Infection Control Condition
L0580 Control Standard
L0586 Licensed Professional Services Standard
L0596 Counseling Services Standard
L0641 Volunteers Condition
L0646 Cost Saving Standard
L0652 Services Standard
L0679 Authentication Standard
L0782 Orientation And Training Of Staff Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 031683 Everest Hospice 14970 W. Indian School Rd., Suite 230 Goodyear AZ 9 (San Francisco) 02/11/2025 63633-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0577 Infection Control Condition
L0580 Control Standard
▼ 031683 Everest Hospice 14970 W. Indian School Rd., Suite 230 Goodyear AZ 9 (San Francisco) 05/07/2025 63633-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0577 Infection Control Condition
L0580 Control Standard
▼ 031684 Hope Hospice Care, Inc 10617 North Hayden Road, Suite B-100 Scottsdale AZ 9 (San Francisco) 04/25/2023 5F8F1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0662 Training Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0673 Content Standard
L0676 Content Standard
▼ 031688 Royal Hospice Care, Llc 14809 N 73rd St. Suite 202 Scottsdale AZ 9 (San Francisco) 02/18/2022 1126567 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
▼ 031688 Royal Hospice Care, Llc 14809 N 73rd Street, Suite 202 Scottsdale AZ 9 (San Francisco) 01/16/2025 1253391 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 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
L0579 Prevention Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 031689 Mountain View Hospice, Llc 8263 W Thunderbird Rd, Ste 120 Peoria AZ 9 (San Francisco) 03/03/2022 N/A Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard