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
▼ A91538 Atwell Hospice & Pj Home Health Services, Inc 6917 Atwell Drive Houston TX 6 (Dallas) 09/26/2024 1246136 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0513 Rights Of The Patient Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0594 Medical Social Services Standard
L0641 Volunteers Condition
L0644 Role Standard
L0647 Level Of Activity Standard
L0650 Serving The Hospice Patient And Family Standard
L0652 Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
▼ A91538 Atwell Hospice & Pj Home Health Services, Inc 6917 Atwell Drive Houston TX 6 (Dallas) 11/08/2024 1253270 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0594 Medical Social Services Standard
L0598 Counseling Services Standard
▼ A91539 Pacific Hospice And Palliative Care, Llc 4400 S Piedras Dr, Ste 221 San Antonio TX 6 (Dallas) 11/16/2022 1157055 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ A91541 Wesley Healthcare Llc 7322 Southwest Fwy, Suite 660 Room D Houston TX 6 (Dallas) 06/30/2022 1148156 Initial
Deficiency Tag Deficiency Description Tag Type
L0598 Counseling Services Standard
▼ A91543 Caring Star Hospice Llc 4425 W Airport Fwy, Suite 109 Irving TX 6 (Dallas) 07/23/2025 N/A Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0585 Licensed Professional Services Standard
L0587 Core Services Condition
L0590 Physician Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0655 Professional Management Responsibility Standard
L0656 Hospice Multiple Locations Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0711 Inpatient Care Provided Under Arrangements Standard
L0715 Inpatient Care Provided Under Arrangements Standard
▼ A91546 St Cyril Hospice Palliative Care Services, Llc 10507 Shanley Trace Lane Richmond TX 6 (Dallas) 11/30/2022 1158837 Initial
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0667 Initial Certification Of Terminal Illness Standard
▼ A91547 Triage Hospice Llc 7001 Corporate Dr., Suite 229 Houston TX 6 (Dallas) 06/20/2025 1268458 Initial with CCN
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
L0679 Authentication Standard
L0681 Retention Of Records Standard
L0692 Administration Of Drugs And Biologicals Standard
▼ A91548 Relief Hero Palliative Inc 2131 Heatherwood Drive Missouri City TX 6 (Dallas) 04/01/2022 1132857 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0683 Discharge Or Transfer Of Care Standard
L0694 Label Dispose Storage Drugs Standard
▼ A91548 Relief Hero Palliative Inc 300 Jackson Street Richmond TX 6 (Dallas) 02/20/2025 1261816 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
▼ A91551 Superior Hospice Vi, Llc 8000 Vantage Dr San Antonio TX 6 (Dallas) 09/22/2025 1D7CA4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0574 Executive Responsibilities Standard