Comfort 1 Hospice LLC
Mishawaka, Indiana · CCN 151629
118 W Edison Rd Suite 200
59 federal deficiencies across 4 surveys, November 3, 2021 to October 10, 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
- Condition-level46.8%
- 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-level5593.2%
- 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
ACHC, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0518Rights of the Patient3
- L0626Hospice Aide Assignments and Duties3
- L0502Notice of Rights and Responsibilities2
- L0503Notice of Rights and Responsibilities2
- L0513Rights of the Patient2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 10, 2024 | Reaccreditation | 7 | — |
| Aug 19, 2022 | Complaint | 21 | 2 |
| May 16, 2022 | Complaint | 15 | 2 |
| Nov 3, 2021 | Reaccreditation | 16 | — |
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 3, 2021 to October 10, 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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