Hospice record · CCN 671651
Cristela Flores Serenity Hospice dba Serenity Hospice LLC
700 Pennsylvania, Fort Worth, TX, 76104
Total citations
34
across 3 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
27
unique L-tags cited
Most recent survey
03/10/2025
history from 01/07/2022
Citation history
Newest survey first. Every hospice deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level | Immed. jeopardy |
|---|---|---|---|---|---|
| 03/10/2025 | Follow-Up | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 03/10/2025 | Follow-Up | L0547 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(2) | ConditionCondition-level | No |
| 03/10/2025 | Follow-Up | L0561 | PROGRAM SCOPE42 CFR 418.58(a)(1) | StandardStandard-level | No |
| 03/10/2025 | Follow-Up | L0564 | PROGRAM DATA42 CFR 418.58(b)(2)(ii) | StandardStandard-level | No |
| 03/10/2025 | Follow-Up | L0573 | PERFORMANCE IMPROVEMENT PROJECTS42 CFR 418.58(d)(2) | StandardStandard-level | No |
| 03/10/2025 | Follow-Up | L0645 | RECRUITING AND RETAINING42 CFR 418.78(c) | StandardStandard-level | No |
| 03/10/2025 | Follow-Up | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 03/10/2025 | Follow-Up | L0662 | TRAINING42 CFR 418.100(g)(2) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | E0001 | Establishment of the Emergency Program (EP)42 CFR 418.113 | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | E0037 | EP Training Program42 CFR 418.113(d)(1)(iii) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | E0039 | EP Testing Requirements42 CFR 418.113(d)(2) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0531 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(7) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0532 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(8) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0543 | PLAN OF CARE42 CFR 418.56(b ) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0547 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(2) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0555 | COORDINATION OF SERVICES42 CFR 418.56(e)(2) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0559 | QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58 | ConditionCondition-level | No |
| 01/29/2025 | Reaccreditation | L0561 | PROGRAM SCOPE42 CFR 418.58(a)(1) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0564 | PROGRAM DATA42 CFR 418.58(b)(2)(ii) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0573 | PERFORMANCE IMPROVEMENT PROJECTS42 CFR 418.58(d)(2) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0581 | CONTROL42 CFR 418.60(b)(2)(ii) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0596 | COUNSELING SERVICES42 CFR 418.64(d)(1)(iv) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0629 | SUPERVISION OF HOSPICE AIDES42 CFR 418.76(h)(1)(i) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0645 | RECRUITING AND RETAINING42 CFR 418.78(c) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0646 | COST SAVING42 CFR 418.78(d)(1) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0647 | LEVEL OF ACTIVITY42 CFR 418.78(e) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 01/29/2025 | Reaccreditation | L0652 | SERVICES42 CFR 418.100(c)(1)(v) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0662 | TRAINING42 CFR 418.100(g)(2) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0676 | CONTENT42 CFR 418.104(a)(5) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0682 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(1)(i) | StandardStandard-level | No |
| 01/29/2025 | Reaccreditation | L0702 | USE AND MINTENANCE OF EQUIPMENT AND SUPPLIES42 CFR 418.106(f)(2) | StandardStandard-level | No |
| 01/07/2022 | Reaccreditation | L0512 | RIGHTS OF THE PATIENT42 CFR 418.52(c)(1) | StandardStandard-level | No |
| 01/07/2022 | Reaccreditation | L0546 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(1) | StandardStandard-level | No |