Deficiency Index

Healing Hearts Hospice

Shawnee, Oklahoma · CMS number not yet issued

17105 Bethel Rd

25 federal deficiencies across 2 surveys, February 1, 2024 to March 20, 2024.

Deficiencies25

Excludes the inspector’s preamble, which is not a finding

Surveys2

Federal surveys with at least one deficiency

Condition-level2

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Condition-level28.0%
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-level2392.0%
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

CHAP.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Healing Hearts Hospice
SurveyTypeDeficienciesCondition-level
Mar 20, 2024Initial1—
Feb 1, 2024Initial242

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 February 1, 2024 to March 20, 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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