Aquarius Hospice
Phoenix, Arizona · CCN 031657
11225 N 28th Drive, Suite A204a
68 federal deficiencies across 3 surveys, July 12, 2024 to April 30, 2025.
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-level710.3%
- 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-level6189.7%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0006Plan Based on All Hazards Risk Assessment3
- E0019Homebound HHA/Hospice Inform EP Officials3
- E0037EP Training Program3
- E0039EP Testing Requirements3
- L0503Notice of Rights and Responsibilities3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Apr 30, 2025 | Recertification | 24 | 3 |
| Nov 21, 2024 | Recertification | 23 | 2 |
| Jul 12, 2024 | Recertification | 21 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 22 findings in full →
CMS publishes written findings for 22 of the 68 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from July 12, 2024 to April 30, 2025. 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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