Deficiency Index

Blue Haven Hospice LLC

Plano, Texas · CCN 741594

3033 W. President George Bush Highway, Ste 150

16 federal deficiencies across 3 surveys, May 18, 2022 to April 10, 2025.

Deficiencies16

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

Surveys3

Federal surveys with at least one deficiency

Condition-level0

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

What level the findings sit at

Standard-level16100.0%
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

ACHC, State Agency.

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

Most-cited requirements

Survey record

Federal surveys of Blue Haven Hospice LLC
SurveyTypeDeficienciesCondition-level
Apr 10, 2025Reaccreditation8—
Dec 14, 2022Complaint2—
May 18, 2022Initial with CCN6—

In the inspector’s words

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

Read all 16 findings in full →

Hospice findings published by CMS on QCOR, covering surveys from May 18, 2022 to April 10, 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