S&C QCOR Hospice 2567s
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Hospice 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ Pending Allay 4 Hospice Inc. 9227 Haven Avenue Suite 215 Rancho Cucamonga CA 9 (San Francisco) 11/12/2021 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0650 Serving The Hospice Patient And Family Standard
L0655 Professional Management Responsibility Standard
L0663 Training Standard
L0680 Protection Of Information Standard
L0683 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ Pending Vista Community Hospice Inc 830 E. Vista Way, Suite 111 Vista CA 9 (San Francisco) 11/16/2021 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ Pending Jan Hospice Care, Inc. 2015 Westwind Dr., Suite 7 Bakersfield CA 9 (San Francisco) 11/18/2021 N/A Initial
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0581 Control Standard
L0651 Governing Body And Administrator Standard
L0662 Training Standard
L0664 Medical Director Condition
L0665 Medical Director Condition
L0673 Content Standard
L0678 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
L0798 Federal, State, Local Laws & Regulations Condition
▼ Pending Physmed Iowa Llc 1130 S Scott Blvd. Iowa City IA 7 (Kansas City) 12/21/2021 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
▼ Pending Welby Way Home Llc 21550 Oxnard Street, 3rd Floor, Suite #57 Woodland Hills CA 9 (San Francisco) 01/07/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ Pending Az Hospice & Palliative Care Services, Inc. 13201 N 35th Ave Ste B7c Phoenix AZ 9 (San Francisco) 03/07/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
▼ Pending Wings Over Virginia Llc Dba Wings Over Virginia Hospice 6325 North Center Drive, Suite 204 Norfolk VA 3 (Philadelphia) 03/10/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0678 Content Standard
▼ Pending Wings Over Virginia Llc 6325 North Center Drive, Suite 204 Norfolk VA 3 (Philadelphia) 03/10/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0678 Content Standard
▼ Pending Care And Support Hospice, Inc. 4959 Palo Verde Street, Suite 206a-1 Montclair CA 9 (San Francisco) 04/05/2022 N/A Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
▼ Pending Goodwill Hospice Care Llc 8303 Southwest Freeway, Suite 547 Houston TX 6 (Dallas) 04/14/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0702 Use And Mintenance Of Equipment And Supplies Standard