Comfort Care Hospice, LLC
Andalusia, Alabama · CCN 011597
820 South Three Notch Street, Suite C
16 federal deficiencies across 3 surveys, November 4, 2021 to January 5, 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-level212.5%
- 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-level1487.5%
- 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
CHAP, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0530Content of Comprehensive Assessment2
- L0533Update of Comprehensive Assessment2
- L0579Prevention2
- L0626Hospice Aide Assignments and Duties2
- L0670Clinical Records2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jan 5, 2023 | Initial | 2 | — |
| Dec 15, 2021 | Recertification | 7 | 1 |
| Nov 4, 2021 | Recertification | 7 | 1 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
CMS publishes written findings for 9 of the 16 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from November 4, 2021 to January 5, 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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