Deficiency Index

Legacy Healthcare, Inc

Albuquerque, New Mexico · CCN 321569

3610 Bosque Plaza Ln NW

26 federal deficiencies across 4 surveys, August 11, 2022 to October 30, 2025.

Deficiencies26

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

Surveys4

Federal surveys with at least one deficiency

Condition-level3

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

What level the findings sit at

Condition-level311.5%
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-level2388.5%
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, State Agency.

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

Most-cited requirements

Survey record

Federal surveys of Legacy Healthcare, Inc
SurveyTypeDeficienciesCondition-level
Oct 30, 2025Reaccreditation9—
Mar 9, 2023Complaint62
Dec 22, 2022Reaccreditation5—
Aug 11, 2022Complaint61

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 20 findings in full →

CMS publishes written findings for 20 of the 26 deficiencies on this hospice’s record.

Hospice findings published by CMS on QCOR, covering surveys from August 11, 2022 to October 30, 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.

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