St. Mary's Hospice Services, Inc.
Fresno, California · CCN 751687
3180 E Shields Ave, 105a
40 federal deficiencies across 3 surveys, April 7, 2022 to April 17, 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-level25.0%
- 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-level3895.0%
- 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
CHAP, TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0545Content of Plan of Care3
- L0550Content of Plan of Care2
- L0552Review of the Plan of Care2
- L0553Review of the Plan of Care2
- L0667Initial Certification of Terminal Illness2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Apr 17, 2025 | Initial with CCN | 19 | 1 |
| Jul 19, 2022 | Follow-Up | 3 | — |
| Apr 7, 2022 | Reaccreditation | 18 | 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 April 7, 2022 to April 17, 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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