Presbyterian Hospice of Northern Nm
Santa Fe, New Mexico · CCN 321579
1400 Chama Ave
10 federal deficiencies across 2 surveys, February 23, 2023 to April 10, 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-level220.0%
- 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-level880.0%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0006Plan Based on All Hazards Risk Assessment2
- L0520Initial & Comprehensive Assessment of Patient2
- L0523Timeframe for Completion of Assessment2
- L0683Discharge Or Transfer of Care2
- L0684Discharge Or Transfer of Care2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Apr 10, 2023 | Recertification | 5 | 1 |
| Feb 23, 2023 | Recertification | 5 | 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 February 23, 2023 to April 10, 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.
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