Deficiency Index

Ultimate Plus Hospice LLC

Mesquite, Texas · CCN 741614

3218 I-30 Frontage Rd, Ste 111a

34 federal deficiencies across 4 surveys, April 1, 2022 to March 21, 2025.

Deficiencies34

Excludes the inspector’s preamble, which is not a finding

Surveys4

Federal surveys with at least one deficiency

Condition-level0

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Standard-level34100.0%
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.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Ultimate Plus Hospice LLC
SurveyTypeDeficienciesCondition-level
Mar 21, 2025Initial with CCN12—
Dec 27, 2023Follow-Up6—
Jan 9, 2023Follow-Up6—
Apr 1, 2022Reaccreditation10—

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 34 findings in full →

Hospice findings published by CMS on QCOR, covering surveys from April 1, 2022 to March 21, 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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