Beyond Hospice & Palliative Care, LLC
Fresno, Texas · CCN 971735
903 Cove Crest Trail
11 federal deficiencies across 3 surveys, November 11, 2021 to September 26, 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-level19.1%
- 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-level1090.9%
- 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, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0667Initial Certification of Terminal Illness2
- L0526Content of Comprehensive Assessment1
- L0530Content of Comprehensive Assessment1
- L0549Content of Plan of Care1
- L0557Coordination of Services1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 26, 2024 | Reaccreditation | 5 | 1 |
| Sep 9, 2022 | Complaint | 2 | — |
| Nov 11, 2021 | Initial with CCN | 4 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 10 findings in full →
CMS publishes written findings for 10 of the 11 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from November 11, 2021 to September 26, 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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