Calvary Hospital, Inc.
Bronx, New York · CCN 331562
1740 Eastchester Rd
59 federal deficiencies across 8 surveys, November 18, 2022 to November 6, 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-level11.7%
- 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-level5898.3%
- 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
- L0543Plan of Care7
- L0552Review of the Plan of Care6
- L0533Update of Comprehensive Assessment4
- L0625Hospice Aide Assignments and Duties3
- L0692Administration of Drugs and Biologicals3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Nov 6, 2025 | Complaint | 1 | — |
| Oct 28, 2025 | Recertification | 17 | — |
| Aug 28, 2025 | Complaint | 3 | — |
| Jun 9, 2025 | Complaint | 4 | — |
| Nov 22, 2024 | Recertification | 17 | — |
| Jun 14, 2024 | Complaint | 9 | — |
| Nov 7, 2023 | Complaint, Recertification | 4 | 1 |
| Nov 18, 2022 | Complaint, Recertification | 4 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 38 findings in full →
CMS publishes written findings for 38 of the 59 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from November 18, 2022 to November 6, 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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