Los Alamos Visiting Nurse Service Hospice
Los Alamos, New Mexico · CCN 321525
109 Central Park Square
90 federal deficiencies across 3 surveys, June 6, 2024 to August 26, 2024.
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-level66.7%
- 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-level8493.3%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0001Establishment of the Emergency Program (EP)3
- E0024Policies/Procedures-Volunteers and Staffing3
- E0026Roles Under A Waiver Declared by Secretary3
- E0036EP Training and Testing3
- E0037EP Training Program3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Aug 26, 2024 | Recertification | 22 | 2 |
| Jul 17, 2024 | Recertification | 34 | 2 |
| Jun 6, 2024 | Recertification | 34 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 34 findings in full →
CMS publishes written findings for 34 of the 90 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from June 6, 2024 to August 26, 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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