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
▼ 111520 Tift Regional Health System, Inc. 618 North Central Avenue Tifton GA 4 (Atlanta) 07/16/2025 1D0D9C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0651 Governing Body And Administrator Standard
L0678 Content Standard
▼ 111521 Archbold Health Services, Inc. 400 Old Albany Road Thomasville GA 4 (Atlanta) 05/02/2025 1264256 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0500 Patients Rights Condition
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0570 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0827 Fire Protection Standard
▼ 111524 Floyd Healthcare Management, Inc. 420 East Second Avenue, Suite 103 Rome GA 4 (Atlanta) 04/03/2025 1264501 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0529 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0582 Education Standard
L0596 Counseling Services Standard
L0655 Professional Management Responsibility Standard
L0661 Training Standard
L0674 Content Standard
L0685 Retrieval Of Clinical Records Standard
L0774 Hospice Plan Of Care Standard
▼ 111525 Trinity Home Health Services 1021 Jamestown Blvd Suite 219 Watkinsville GA 4 (Atlanta) 04/12/2023 5F84F-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0684 Discharge Or Transfer Of Care Standard
▼ 111527 Phoebe Putney Memorial Hospital, Inc 320 Foundation Lane Albany GA 4 (Atlanta) 04/17/2024 62CDD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0646 Cost Saving Standard
▼ 111528 Healthfield Hospice Services, Llc 200 Business Center Drive, Suite 218 Stockbridge GA 4 (Atlanta) 03/27/2025 1261907 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive 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
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 111531 Hospice Of South Georgia 2263 Pineview Drive Valdosta GA 4 (Atlanta) 09/18/2024 64349-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
▼ 111532 Georgia Mountain Hospice, Inc. 70 Caring Way Jasper GA 4 (Atlanta) 01/27/2022 L9QW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
L0774 Hospice Plan Of Care Standard
▼ 111532 Georgia Mountain Hospice, Inc. 70 Caring Way Jasper GA 4 (Atlanta) 01/29/2025 6533D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0562 Program Scope Standard
L0679 Authentication Standard
▼ 111533 Pruitthealth Hospice, Inc. 5365 Oakbrook Parkway Norcross GA 4 (Atlanta) 02/09/2022 YVWV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0774 Hospice Plan Of Care Standard