Safe Harbor Hospice, LLC
Fredericktown, Missouri · CCN 261586
101 Kingsbury Blvd
26 federal deficiencies across 3 surveys, July 7, 2022 to February 29, 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-level27.7%
- 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-level2492.3%
- 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
ACHC, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0530Content of Comprehensive Assessment3
- L0547Content of Plan of Care3
- L0536Idg, Care Planning, Coordination of Services2
- L0545Content of Plan of Care2
- L0546Content of Plan of Care2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Feb 29, 2024 | Initial with CCN | 6 | — |
| Aug 17, 2022 | Recertification | 10 | 1 |
| Jul 7, 2022 | Recertification | 10 | 1 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 16 findings in full →
CMS publishes written findings for 16 of the 26 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from July 7, 2022 to February 29, 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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