Davis Hospice LLC
Gillette, Wyoming · CMS number not yet issued
902 E. 3rd Street
9 federal deficiencies across 1 survey, April 12, 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-level111.1%
- 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-level888.9%
- 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.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0515Rights of the Patient1
- L0524Content of Comprehensive Assessment1
- L0530Content of Comprehensive Assessment1
- L0536Idg, Care Planning, Coordination of Services1
- L0540Approach to Service Delivery1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Apr 12, 2024 | Initial | 9 | 1 |
In the inspector’s words
CMS publishes the deficiencies cited at this hospice but not the inspector’s written findings for them.
Hospice findings published by CMS on QCOR, covering surveys from April 12, 2024 to April 12, 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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