Ipr Healthcare Systems, Inc.
Houston, Texas · CCN 741755
1328 S Loop W Suite 100
13 federal deficiencies across 2 surveys, March 31, 2023 to May 25, 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
- Condition-level17.7%
- 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-level1292.3%
- 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0546Content of Plan of Care2
- E0006Plan Based on All Hazards Risk Assessment1
- E0007EP Program Patient Population1
- E0030Names and Contact Information1
- E0032Primary/Alternate Means for Communication1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| May 25, 2023 | Follow-Up | 1 | — |
| Mar 31, 2023 | Reaccreditation | 12 | 1 |
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 31, 2023 to May 25, 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.
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