Cody Regional Health Spirit Mountain Hospice
Cody, Wyoming · CCN 531505
707 Sheridan Ave
27 federal deficiencies across 7 surveys, May 26, 2022 to July 31, 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
- Standard-level27100.0%
- 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
- K0345Fire Alarm System - Testing and Maintenance4
- K0918Essential Electrical Systems ? Generator Or Alternate Source4
- K0351Sprinkler System - Installation3
- E0039EP Testing Requirements2
- K0353Sprinkler System - Maintenance and Testing2
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jul 31, 2025 | Recertification | 1 | — |
| Jul 22, 2025 | Recertification | 6 | — |
| Jun 5, 2025 | Recertification | 1 | — |
| Jun 3, 2025 | Recertification | 6 | — |
| Oct 25, 2022 | Recertification | 1 | — |
| Jul 29, 2022 | Recertification | 6 | — |
| May 26, 2022 | Recertification | 6 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 13 findings in full →
CMS publishes written findings for 13 of the 27 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from May 26, 2022 to July 31, 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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