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
▼ 031738 Arch Hospice, Llc 10210 N. 32nd Street Ste C202 Phoenix AZ 9 (San Francisco) 11/21/2024 64E3F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0007 Ep Program Patient Population Standard
E0013 Development Of Ep Policies And Procedures Standard
E0015 Subsistence Needs For Staff And Patients Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0022 Policies/Procedures For Sheltering In Place Standard
E0026 Roles Under A Waiver Declared By Secretary Standard
E0030 Names And Contact Information Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0514 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0678 Content Standard
▼ 031738 Arch Hospice Llc 10210 N 32nd Street, Suite C-202 Phoenix AZ 9 (San Francisco) 07/23/2025 1269382 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0579 Prevention Standard
L0673 Content Standard
▼ 031740 Hospice Of Tucson, Inc. 440 E Broadway Blvd, Suite 600-O Tucson AZ 9 (San Francisco) 06/28/2024 1236048 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 031742 Catalina Hospice Pllc 3980 N. Campbell Ave. Tucson AZ 9 (San Francisco) 08/09/2024 1240583 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
▼ 031743 Transcendence Hospice & Palliative Care, Llc 8146 North 23rd Avenue Suite J Phoenix AZ 9 (San Francisco) 04/26/2024 1224049 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ 031746 Loyal Hospice & Palliative Care, Llc 5059 S. Lakewood Road Fort Mohave AZ 9 (San Francisco) 01/26/2024 1216966 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0664 Medical Director Condition
L0684 Discharge Or Transfer Of Care Standard
L0820 Hospices That Provide Inpatient Care Directly Condition
L0821 Staffing Standard
▼ 031748 In My Home Hospice Care 1204 E Baseline Rd, Suite 101 Tempe AZ 9 (San Francisco) 03/07/2024 1221966 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0662 Training Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ 031748 In My Home Hospice Care 1204 E Baseline Rd, Suite 101 Tempe AZ 9 (San Francisco) 04/17/2024 1236091 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 031753 Free Spirit Hospice Inc 2601 N 3rd St. , Ste 109 Phoenix AZ 9 (San Francisco) 11/27/2024 1253308 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0663 Training Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 031754 Intrepid Of Arizona, Inc. 1820 E. River Road, Ste. 110 B Tucson AZ 9 (San Francisco) 10/15/2021 1115320 Initial
Deficiency Tag Deficiency Description Tag Type
L0615 Competency Evaluation Standard