Bethlen Communities Hospice
Ligonier, Pennsylvania · CCN 391710
135 Kalassay Drive
8 federal deficiencies across 2 surveys, September 13, 2024 to December 17, 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
- Standard-level8100.0%
- 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
- L0531Content of Comprehensive Assessment2
- L0545Content of Plan of Care2
- L0596Counseling Services2
- L0643Training2
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 17, 2024 | Recertification | 4 | — |
| Sep 13, 2024 | Recertification | 4 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
CMS publishes written findings for 4 of the 8 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from September 13, 2024 to December 17, 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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