All Star Hospice Inc
Sugar Land, Texas · CCN 671757
145 Promenade Way , Suite 1
17 federal deficiencies across 3 surveys, November 12, 2021 to August 8, 2024.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Condition-level211.8%
- The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
- Standard-level1588.2%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0543Plan of Care2
- L0545Content of Plan of Care2
- L0625Hospice Aide Assignments and Duties2
- L0520Initial & Comprehensive Assessment of Patient1
- L0522Initial Assessment1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Aug 8, 2024 | Follow-Up | 2 | — |
| Jun 28, 2024 | Reaccreditation | 13 | 2 |
| Nov 12, 2021 | Follow-Up | 2 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from November 12, 2021 to August 8, 2024. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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