Legacy Hospice of Colorado Springs, LLC
Colorado Springs, Colorado · CCN 061583
6270 Lehman Drive
19 federal deficiencies across 2 surveys, January 10, 2023 to August 30, 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-level19100.0%
- 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
ACHC, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0530Content of Comprehensive Assessment1
- L0531Content of Comprehensive Assessment1
- L0533Update of Comprehensive Assessment1
- L0540Approach to Service Delivery1
- L0545Content of Plan of Care1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Aug 30, 2023 | Reaccreditation | 17 | — |
| Jan 10, 2023 | Complaint | 2 | — |
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 January 10, 2023 to August 30, 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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