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
▼ 031766 A Tlc Hospice Llc 3960 E Riggs Rd, Unit 3 Chandler AZ 9 (San Francisco) 11/25/2024 1253235 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0513 Rights Of The Patient Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
▼ 031767 Caring Angels Hospice, Inc. 4150 W Peoria Ave., Suite B116-B Phoenix AZ 9 (San Francisco) 01/19/2022 1124024 Initial
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
L0679 Authentication Standard
▼ 031768 Amadeo Hospice, Inc. 4150 W Peoria Ave Suite B116-D Phoenix AZ 9 (San Francisco) 01/12/2022 1123947 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0676 Content Standard
▼ 031769 Quivira Healthcare Llc 17505 N 79th Ave Ste 108 Glendale AZ 9 (San Francisco) 12/10/2021 1123147 Initial
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0663 Training Standard
▼ 031770 Eden Hospice Care Inc 1129 Iron Springs Rd., Suite 109 Prescott AZ 9 (San Francisco) 01/10/2025 1254631 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
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
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0668 Recertification Of The Terminal Illness Standard
L0676 Content Standard
L0679 Authentication Standard
L0784 Personnel Qualification Standard
▼ 031771 True North Healthcare Llc 2432 W Peoria Ave, Ste 1201 Phoenix AZ 9 (San Francisco) 11/16/2021 1118058 Initial
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
▼ 031771 True North Healthcare Llc 2432 W Peoria Ave, Ste 1201 Phoenix AZ 9 (San Francisco) 10/30/2024 1249316 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0596 Counseling Services Standard
L0598 Counseling Services Standard
▼ 031772 Noble Care Services West Llc 1930 South Alma School Road Suite A105 Mesa AZ 9 (San Francisco) 11/18/2021 1118067 Initial
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
L0679 Authentication Standard
▼ 031773 Good Samaritan Healthcare Llc 10000 N 31st Ave Suite D307a Phoenix AZ 9 (San Francisco) 01/28/2022 1125006 Initial
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
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
L0673 Content Standard
L0679 Authentication Standard
L0711 Inpatient Care Provided Under Arrangements Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0795 Criminal Background Checks Standard
▼ 031774 Apricus Hospice And Palliative Care, Llc 7725 North 43rd Avenue, Ste 611 Phoenix AZ 9 (San Francisco) 12/07/2021 1118960 Initial
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0673 Content Standard
L0679 Authentication Standard