Hospice of the West, LLC
Phoenix, Arizona · CCN 031592
21410 N. 19th Ave, Suite 100
21 federal deficiencies across 4 surveys, September 23, 2022 to September 12, 2025.
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-level1047.6%
- 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-level1152.4%
- 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, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0500Patients' Rights2
- L0541Approach to Service Delivery2
- L0559Quality Assessment & Performance Improvement2
- L0581Control2
- L0648Organizational Environment2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 12, 2025 | Reaccreditation | 5 | — |
| Dec 20, 2024 | Complaint | 7 | 5 |
| Aug 22, 2024 | Complaint | 7 | 5 |
| Sep 23, 2022 | Initial with CCN | 2 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 14 findings in full →
CMS publishes written findings for 14 of the 21 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from September 23, 2022 to September 12, 2025. 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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