Sunset Healthcare Services, Inc.
Houston, Texas · CCN 971603
10103 Fondren Rd, Suite #380
17 federal deficiencies across 2 surveys, August 30, 2023 to October 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-level317.6%
- 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-level1482.4%
- 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
- L0520Initial & Comprehensive Assessment of Patient1
- L0525Content of Comprehensive Assessment1
- L0530Content of Comprehensive Assessment1
- L0531Content of Comprehensive Assessment1
- L0545Content of Plan of Care1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 10, 2023 | Follow-Up | 2 | — |
| Aug 30, 2023 | Reaccreditation | 15 | 3 |
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 August 30, 2023 to October 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.
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