Wesley Community Services, Inc.
Urbandale, Iowa · CCN 161587
4328 114th Street
70 federal deficiencies across 4 surveys, March 21, 2022 to April 9, 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-level68.6%
- 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-level6491.4%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0547Content of Plan of Care4
- L0555Coordination of Services4
- L0615Competency Evaluation4
- L0626Hospice Aide Assignments and Duties4
- L0679Authentication4
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Apr 9, 2025 | Recertification | 12 | 1 |
| Feb 26, 2025 | Recertification | 12 | 1 |
| May 3, 2022 | Recertification | 23 | 2 |
| Mar 21, 2022 | Recertification | 23 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 35 findings in full →
CMS publishes written findings for 35 of the 70 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from March 21, 2022 to April 9, 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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