Charis Health and Hospice
Carrollton, Texas · CCN A91589
2340 E Trinity Mills Rd, Suite 362
11 federal deficiencies across 2 surveys, May 12, 2022 to February 15, 2023.
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-level327.3%
- 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-level872.7%
- 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
- E0016Hospice Follow Up for Staff1
- E0024Policies/Procedures-Volunteers and Staffing1
- L0502Notice of Rights and Responsibilities1
- L0521Initial & Comprehensive Assessment of Patient1
- L0531Content of Comprehensive Assessment1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Feb 15, 2023 | Initial | 1 | — |
| May 12, 2022 | Initial | 10 | 3 |
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 May 12, 2022 to February 15, 2023. 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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