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Hospice record · CCN 741547

GREENLEAF HOSPICE LLC

1290 HWY 157 N, MANSFIELD, TX, 76063

Total citations
36
across 4 survey dates
Immediate jeopardy
6
IJ-level findings
Distinct L-tags
29
unique L-tags cited
Most recent survey
03/11/2024
history from 03/29/2022

Citation history

Newest survey first. Every hospice deficiency on file with CMS.
Survey dateTypeTagDeficiencyLevelImmed. jeopardy
03/11/2024Complaint, RecertificationL0596COUNSELING SERVICES42 CFR 418.64(d)(1)StandardStandard-levelNo
11/14/2023Follow-upL0523TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b)StandardStandard-levelNo
11/14/2023Follow-upL0524CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)StandardStandard-levelNo
11/14/2023Follow-upL0545CONTENT OF PLAN OF CARE42 CFR 418.56(c)StandardStandard-levelNo
11/14/2023Follow-upL0574EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1)StandardStandard-levelNo
11/14/2023Follow-upL0670CLINICAL RECORDS42 CFR 418.104ConditionImmediate jeopardyYes — IJ
11/14/2023Follow-upL0672CONTENT42 CFR 418.104(a)(1)StandardStandard-levelNo
11/14/2023Follow-upL0679AUTHENTICATION42 CFR 418.104(b)StandardStandard-levelNo
10/27/2023ReaccreditationL0516RIGHTS OF THE PATIENT42 CFR 418.52(c)(5)StandardStandard-levelNo
10/27/2023ReaccreditationL0523TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b)StandardStandard-levelNo
10/27/2023ReaccreditationL0530CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6)(i)StandardStandard-levelNo
10/27/2023ReaccreditationL0536IDG, CARE PLANNING, COORDINATION OF SERVICES42 CFR 418.56ConditionImmediate jeopardyYes — IJ
10/27/2023ReaccreditationL0539APPROACH TO SERVICE DELIVERY42 CFR 418.56(a)StandardStandard-levelNo
10/27/2023ReaccreditationL0540APPROACH TO SERVICE DELIVERY42 CFR 418.56(a)StandardStandard-levelNo
10/27/2023ReaccreditationL0543PLAN OF CARE42 CFR 418.56(b)StandardStandard-levelNo
10/27/2023ReaccreditationL0545CONTENT OF PLAN OF CARE42 CFR 418.56(c)StandardStandard-levelNo
10/27/2023ReaccreditationL0552REVIEW OF THE PLAN OF CARE42 CFR 418.56(d)StandardStandard-levelNo
10/27/2023ReaccreditationL0579PREVENTION42 CFR 418.60(a)StandardStandard-levelNo
10/27/2023ReaccreditationL0594MEDICAL SOCIAL SERVICES42 CFR 418.64(c)StandardStandard-levelNo
10/27/2023ReaccreditationL0648ORGANIZATIONAL ENVIRONMENT42 CFR 418.100ConditionImmediate jeopardyYes — IJ
10/27/2023ReaccreditationL0651GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b)StandardStandard-levelNo
10/27/2023ReaccreditationL0664MEDICAL DIRECTOR42 CFR 418.102ConditionImmediate jeopardyYes — IJ
10/27/2023ReaccreditationL0669MEDICAL DIRECTOR RESPOSIBILITY42 CFR 418.102(d)StandardStandard-levelNo
10/27/2023ReaccreditationL0670CLINICAL RECORDS42 CFR 418.104ConditionImmediate jeopardyYes — IJ
10/27/2023ReaccreditationL0672CONTENT42 CFR 418.104(a)(1)StandardStandard-levelNo
10/27/2023ReaccreditationL0678CONTENT42 CFR 418.104(a)(7)StandardStandard-levelNo
10/27/2023ReaccreditationL0680PROTECTION OF INFORMATION42 CFR 418.104(c)StandardStandard-levelNo
10/27/2023ReaccreditationL0781COORDINATION OF SERVICES42 CFR 418.112(e)(3)(i)StandardStandard-levelNo
10/27/2023ReaccreditationL0797FEDERAL, STATE, LOCAL LAWS & REGULATIONS42 CFR 418.116ConditionImmediate jeopardyYes — IJ
03/29/2022Follow-upL0523TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b)StandardStandard-levelNo
03/29/2022Follow-upL0530CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6)StandardStandard-levelNo
03/29/2022Follow-upL0538IDG, CARE PLANNING, COORDINATION OF SERVICES42 CFR 418.56StandardStandard-levelNo
03/29/2022Follow-upL0594MEDICAL SOCIAL SERVICES42 CFR 418.64(c)StandardStandard-levelNo
03/29/2022Follow-upL0645RECRUITING AND RETAINING42 CFR 418.78(c)StandardStandard-levelNo
03/29/2022Follow-upL0667INITIAL CERTIFICATION OF TERMINAL ILLNESS42 CFR 418.102(b)StandardStandard-levelNo
03/29/2022Follow-upL0683DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2)StandardStandard-levelNo