Hospice record · CCN 451754
GRACE PRESBYTERIAN MINISTRIES INC
12477 MERIT DR, DALLAS, TX, 75251
Total citations
41
across 3 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
36
unique L-tags cited
Most recent survey
10/14/2024
history from 12/01/2021
Citation history
Newest survey first. Every hospice deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level | Immed. jeopardy |
|---|---|---|---|---|---|
| 10/14/2024 | Complaint | L0543 | PLAN OF CARE42 CFR 418.56(b) | StandardStandard-level | No |
| 10/14/2024 | Complaint | L0547 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(2) | StandardStandard-level | No |
| 10/14/2024 | Complaint | L0549 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(4) | StandardStandard-level | No |
| 10/14/2024 | Complaint | L0557 | COORDINATION OF SERVICES42 CFR 418.56(e)(4) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | E0037 | EP Training Program42 CFR 418.113(d)(1)(i) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0520 | INITIAL & COMPREHENSIVE ASSESSMENT OF PATIENT42 CFR 418.54 | ConditionCondition-level | No |
| 12/01/2023 | Reaccreditation | L0532 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(8) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0533 | UPDATE OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(d) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0536 | IDG, CARE PLANNING, COORDINATION OF SERVICES42 CFR 418.56 | ConditionCondition-level | No |
| 12/01/2023 | Reaccreditation | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0547 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(2) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0548 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(3) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0549 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(4) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0552 | REVIEW OF THE PLAN OF CARE42 CFR 418.56(d ) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0557 | COORDINATION OF SERVICES42 CFR 418.56(e)(4) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0559 | QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58 | ConditionCondition-level | No |
| 12/01/2023 | Reaccreditation | L0561 | PROGRAM SCOPE42 CFR 418.58(a)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0563 | PROGRAM DATA42 CFR 418.58(b)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0564 | PROGRAM DATA42 CFR 418.58(b)(2)(ii) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0572 | PERFORMANCE IMPROVEMENT PROJECTS42 CFR 418.58(d)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0574 | EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0575 | EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(2) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0579 | PREVENTION42 CFR 418.60(a) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0581 | CONTROL42 CFR 418.60(b)(2)(i) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0596 | COUNSELING SERVICES42 CFR 418.64(d)(1)(ii) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0615 | COMPETENCY EVALUATION42 CFR 418.76(c)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0625 | HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 12/01/2023 | Reaccreditation | L0682 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(1)(i) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0832 | N/A42 CFR 418.110(i)(1) | StandardStandard-level | No |
| 12/01/2023 | Reaccreditation | L0839 | N/A42 CFR 418.110(m)(3) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0501 | PATIENTS RIGHTS42 CFR 418.52 | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0512 | RIGHTS OF THE PATIENT42 CFR 418.52(c)(1) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0529 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(5) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0546 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(1) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0549 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(4) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0555 | COORDINATION OF SERVICES42 CFR 418.56(e)(2) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0598 | COUNSELING SERVICES42 CFR 418.64(d)(3)(i) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0626 | HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2)(ii) | StandardStandard-level | No |
| 12/01/2021 | Follow-Up | L0728 | FIRE PROTECTION42 CFR 418.110(d)(1)(i) | StandardStandard-level | No |