The Evangelical Lutheran Good Samaritan Society
Prescott, Arizona · CCN 031584
1065 Ruth Street, Suite 108-109
6 federal deficiencies across 2 surveys, December 6, 2023 to December 8, 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
- Standard-level6100.0%
- 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
- E0039EP Testing Requirements1
- K0372Subdivision of Building Spaces ? Smoke Barrier Construction1
- K0761Maintenance, Inspection & Testing - Doors1
- K0921Electrical Equipment ? Testing and Maintenance Requirements1
- L0693Label Dispose Storage Drugs1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 8, 2023 | Recertification | 3 | — |
| Dec 6, 2023 | Recertification | 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 December 6, 2023 to December 8, 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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