Greenleaf Hospice LLC
Mansfield, Texas · CCN 741547
1290 Hwy 157 N
36 federal deficiencies across 4 surveys, March 29, 2022 to March 11, 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-level616.7%
- 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-level3083.3%
- 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, CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0523Timeframe for Completion of Assessment3
- L0530Content of Comprehensive Assessment2
- L0545Content of Plan of Care2
- L0594Medical Social Services2
- L0670Clinical Records2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Mar 11, 2024 | Complaint, Recertification | 1 | — |
| Nov 14, 2023 | Follow-Up | 7 | 1 |
| Oct 27, 2023 | Reaccreditation | 21 | 5 |
| Mar 29, 2022 | Follow-Up | 7 | — |
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 March 29, 2022 to March 11, 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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