Brightmoor Hospice, LLC
Griffin, Georgia · CCN 111618
3247 Newnan Road
40 federal deficiencies across 10 surveys, January 10, 2024 to September 9, 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-level25.0%
- 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-level3895.0%
- 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
- K0341Fire Alarm System - Installation4
- K0712Fire Drills4
- L0555Coordination of Services3
- E0001Establishment of the Emergency Program (EP)2
- E0030Names and Contact Information2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 9, 2025 | Recertification | 3 | — |
| Apr 3, 2025 | Recertification | 3 | — |
| Jul 23, 2024 | Complaint, Recertification | 6 | — |
| Jul 3, 2024 | Recertification | 4 | 1 |
| Jul 2, 2024 | Recertification | 4 | — |
| Jun 6, 2024 | Complaint, Recertification | 6 | — |
| May 8, 2024 | Recertification | 4 | — |
| May 7, 2024 | Recertification | 4 | 1 |
| Apr 3, 2024 | Complaint | 4 | — |
| Jan 10, 2024 | Complaint | 2 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 23 findings in full →
CMS publishes written findings for 23 of the 40 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from January 10, 2024 to September 9, 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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