Passionate Hospice LLC
Houston, Texas · CCN 971667
13100 Northwest Freeway, Suite 400b
22 federal deficiencies across 2 surveys, February 29, 2024 to April 12, 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-level29.1%
- 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-level2090.9%
- 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.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0540Approach to Service Delivery2
- L0625Hospice Aide Assignments and Duties2
- L0626Hospice Aide Assignments and Duties2
- L0629Supervision of Hospice Aides2
- L0682Discharge Or Transfer of Care2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Apr 12, 2024 | Follow-Up | 7 | — |
| Feb 29, 2024 | Reaccreditation | 15 | 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 February 29, 2024 to April 12, 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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