Southwest Hospice Inc
El Paso, Texas · CCN 741759
1635 N Lee Trevino Suite A
65 federal deficiencies across 3 surveys, March 3, 2022 to May 2, 2025.
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-level1015.4%
- 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-level5584.6%
- 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, ACHC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0036EP Training and Testing2
- L0520Initial & Comprehensive Assessment of Patient2
- L0524Content of Comprehensive Assessment2
- L0530Content of Comprehensive Assessment2
- L0531Content of Comprehensive Assessment2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| May 2, 2025 | Recertification | 2 | — |
| Jan 31, 2025 | Reaccreditation | 47 | 7 |
| Mar 3, 2022 | Reaccreditation | 16 | 3 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 64 findings in full →
CMS publishes written findings for 64 of the 65 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from March 3, 2022 to May 2, 2025. 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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