Deficiency Index

Bethesda Hospital, Inc.

Cincinnati, Ohio · CCN 361531

625 Eden Park Drive

27 federal deficiencies across 2 surveys, November 18, 2022 to November 7, 2025.

Deficiencies27

Excludes the inspector’s preamble, which is not a finding

Surveys2

Federal surveys with at least one deficiency

Condition-level2

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Condition-level27.4%
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-level2592.6%
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

TJC.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Bethesda Hospital, Inc.
SurveyTypeDeficienciesCondition-level
Nov 7, 2025Reaccreditation16—
Nov 18, 2022Reaccreditation112

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 27 findings in full →

Hospice findings published by CMS on QCOR, covering surveys from November 18, 2022 to November 7, 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction