Hospice record · CCN 741759
SOUTHWEST HOSPICE INC
1635 N LEE TREVINO SUITE A, EL PASO, TX, 79936
Total citations
64
across 3 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
53
unique L-tags cited
Most recent survey
05/02/2025
history from 03/03/2022
Citation history
Newest survey first. Every hospice deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level | Immed. jeopardy |
|---|---|---|---|---|---|
| 05/02/2025 | Recertification | E0036 | EP Training and Testing42 CFR 418.113(d) | StandardStandard-level | No |
| 05/02/2025 | Recertification | L0646 | COST SAVING42 CFR 418.78(d) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | E0001 | Establishment of the Emergency Program (EP)42 CFR 418.113 | ConditionCondition-level | No |
| 01/31/2025 | Reaccreditation | E0025 | Arrangement with Other Facilities42 CFR 418.113(b)(5) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | E0032 | Primary/Alternate Means for Communication42 CFR 418.113(c)(3) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | E0036 | EP Training and Testing42 CFR 418.113(d) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | E0037 | EP Training Program42 CFR 418.113(d)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0520 | INITIAL & COMPREHENSIVE ASSESSMENT OF PATIENT42 CFR 418.54 | ConditionCondition-level | No |
| 01/31/2025 | Reaccreditation | L0523 | TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0524 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0530 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0531 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(7) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0533 | UPDATE OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(d) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0536 | IDG, CARE PLANNING, COORDINATION OF SERVICES42 CFR 418.56 | ConditionCondition-level | No |
| 01/31/2025 | Reaccreditation | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0549 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(4) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0552 | REVIEW OF THE PLAN OF CARE42 CFR 418.56(d) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0555 | COORDINATION OF SERVICES42 CFR 418.56(e)(2) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0559 | QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58 | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0561 | PROGRAM SCOPE42 CFR 418.58(a)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0562 | PROGRAM SCOPE42 CFR 418.58(a)(2) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0563 | PROGRAM DATA42 CFR 418.58(b)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0564 | PROGRAM DATA42 CFR 418.58(b)(2) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0565 | PROGRAM DATA42 CFR 418.58(b)(3) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0566 | PROGRAM ACTIVITIES42 CFR 418.58(c)(1)(i) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0567 | PROGRAM ACTIVITIES42 CFR 418.58(c)(1)(ii) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0568 | PROGRAM ACTIVITIES42 CFR 418.58(c)(1)(iii) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0572 | PERFORMANCE IMPROVEMENT PROJECTS42 CFR 418.58(d)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0574 | EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0575 | EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(2) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0580 | CONTROL42 CFR 418.60(b)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0607 | HOSPICE AIDE AND HOMEMAKER SERVICES42 CFR 418.76 | ConditionCondition-level | No |
| 01/31/2025 | Reaccreditation | L0625 | HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(1) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0626 | HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0641 | VOLUNTEERS42 CFR 418.78 | ConditionCondition-level | No |
| 01/31/2025 | Reaccreditation | L0645 | RECRUITING AND RETAINING42 CFR 418.78(c) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0646 | COST SAVING42 CFR 418.78(d) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0647 | LEVEL OF ACTIVITY42 CFR 418.78(e) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0648 | ORGANIZATIONAL ENVIRONMENT42 CFR 418.100 | ConditionCondition-level | No |
| 01/31/2025 | Reaccreditation | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0678 | CONTENT42 CFR 418.104(a)(7) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0679 | AUTHENTICATION42 CFR 418.104(b) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0683 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0684 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(3) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0695 | LABEL DISPOSE STORAGE DRUGS42 CFR 418.106(e)(2)(i)(A) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0788 | PERSONNEL QUALIFICATION42 CFR 418.114(b)(4) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0789 | PERSONNEL QUALIFICATION42 CFR 418.114(b)(5) | StandardStandard-level | No |
| 01/31/2025 | Reaccreditation | L0795 | CRIMINAL BACKGROUND CHECKS42 CFR 418.114(d)(1) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0520 | INITIAL & COMPREHENSIVE ASSESSMENT OF PATIENT42 CFR 418.54 | ConditionCondition-level | No |
| 03/03/2022 | Reaccreditation | L0524 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0530 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0531 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(7) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0540 | APPROACH TO SERVICE DELIVERY42 CFR 418.56(a)(1) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0550 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(5) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0555 | COORDINATION OF SERVICES42 CFR 418.56(e)(2) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0587 | CORE SERVICES42 CFR 418.64 | ConditionCondition-level | No |
| 03/03/2022 | Reaccreditation | L0588 | CORE SERVICES42 CFR 418.64 | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0626 | HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0664 | MEDICAL DIRECTOR42 CFR 418.102 | ConditionCondition-level | No |
| 03/03/2022 | Reaccreditation | L0665 | MEDICAL DIRECTOR42 CFR 418.102 | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0679 | AUTHENTICATION42 CFR 418.104(b) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0682 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e) | StandardStandard-level | No |
| 03/03/2022 | Reaccreditation | L0683 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2) | StandardStandard-level | No |