Harbor Hospice 28, LP
Conroe, Texas · CCN 741515
2251 N Loop 336 W Suite 2251-C
3 federal deficiencies across 1 survey, March 10, 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
- Standard-level3100.0%
- 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0546Content of Plan of Care1
- L0630Supervision of Hospice Aides1
- L0795Criminal Background Checks1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Mar 10, 2023 | Reaccreditation | 3 | — |
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 10, 2023 to March 10, 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction