Willow Hospice LLC
Tom Bean, Texas · CCN A91713
301 N Lyon St
7 federal deficiencies across 1 survey, December 29, 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-level7100.0%
- 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
- E0004Develop EP Plan, Review and Update Annually1
- E0039EP Testing Requirements1
- L0562Program Scope1
- L0563Program Data1
- L0586Licensed Professional Services1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 29, 2023 | Initial | 7 | — |
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 29, 2023 to December 29, 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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