By the Bay Health
San Francisco, California · CCN 051523
180 Redwood Street, Suite 350
8 federal deficiencies across 1 survey, September 20, 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0531Content of Comprehensive Assessment1
- L0545Content of Plan of Care1
- L0549Content of Plan of Care1
- L0555Coordination of Services1
- L0626Hospice Aide Assignments and Duties1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 20, 2024 | Reaccreditation | 8 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from September 20, 2024 to September 20, 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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