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 dateTypeTagDeficiencyLevelImmed. jeopardy
05/02/2025RecertificationE0036EP Training and Testing42 CFR 418.113(d)StandardStandard-levelNo
05/02/2025RecertificationL0646COST SAVING42 CFR 418.78(d)StandardStandard-levelNo
01/31/2025ReaccreditationE0001Establishment of the Emergency Program (EP)42 CFR 418.113ConditionCondition-levelNo
01/31/2025ReaccreditationE0025Arrangement with Other Facilities42 CFR 418.113(b)(5)StandardStandard-levelNo
01/31/2025ReaccreditationE0032Primary/Alternate Means for Communication42 CFR 418.113(c)(3)StandardStandard-levelNo
01/31/2025ReaccreditationE0036EP Training and Testing42 CFR 418.113(d)StandardStandard-levelNo
01/31/2025ReaccreditationE0037EP Training Program42 CFR 418.113(d)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0520INITIAL & COMPREHENSIVE ASSESSMENT OF PATIENT42 CFR 418.54ConditionCondition-levelNo
01/31/2025ReaccreditationL0523TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b)StandardStandard-levelNo
01/31/2025ReaccreditationL0524CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)StandardStandard-levelNo
01/31/2025ReaccreditationL0530CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6)StandardStandard-levelNo
01/31/2025ReaccreditationL0531CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(7)StandardStandard-levelNo
01/31/2025ReaccreditationL0533UPDATE OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(d)StandardStandard-levelNo
01/31/2025ReaccreditationL0536IDG, CARE PLANNING, COORDINATION OF SERVICES42 CFR 418.56ConditionCondition-levelNo
01/31/2025ReaccreditationL0545CONTENT OF PLAN OF CARE42 CFR 418.56(c)StandardStandard-levelNo
01/31/2025ReaccreditationL0549CONTENT OF PLAN OF CARE42 CFR 418.56(c)(4)StandardStandard-levelNo
01/31/2025ReaccreditationL0552REVIEW OF THE PLAN OF CARE42 CFR 418.56(d)StandardStandard-levelNo
01/31/2025ReaccreditationL0555COORDINATION OF SERVICES42 CFR 418.56(e)(2)StandardStandard-levelNo
01/31/2025ReaccreditationL0559QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58StandardStandard-levelNo
01/31/2025ReaccreditationL0561PROGRAM SCOPE42 CFR 418.58(a)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0562PROGRAM SCOPE42 CFR 418.58(a)(2)StandardStandard-levelNo
01/31/2025ReaccreditationL0563PROGRAM DATA42 CFR 418.58(b)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0564PROGRAM DATA42 CFR 418.58(b)(2)StandardStandard-levelNo
01/31/2025ReaccreditationL0565PROGRAM DATA42 CFR 418.58(b)(3)StandardStandard-levelNo
01/31/2025ReaccreditationL0566PROGRAM ACTIVITIES42 CFR 418.58(c)(1)(i)StandardStandard-levelNo
01/31/2025ReaccreditationL0567PROGRAM ACTIVITIES42 CFR 418.58(c)(1)(ii)StandardStandard-levelNo
01/31/2025ReaccreditationL0568PROGRAM ACTIVITIES42 CFR 418.58(c)(1)(iii)StandardStandard-levelNo
01/31/2025ReaccreditationL0572PERFORMANCE IMPROVEMENT PROJECTS42 CFR 418.58(d)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0574EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0575EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(2)StandardStandard-levelNo
01/31/2025ReaccreditationL0580CONTROL42 CFR 418.60(b)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0607HOSPICE AIDE AND HOMEMAKER SERVICES42 CFR 418.76ConditionCondition-levelNo
01/31/2025ReaccreditationL0625HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(1)StandardStandard-levelNo
01/31/2025ReaccreditationL0626HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2)StandardStandard-levelNo
01/31/2025ReaccreditationL0641VOLUNTEERS42 CFR 418.78ConditionCondition-levelNo
01/31/2025ReaccreditationL0645RECRUITING AND RETAINING42 CFR 418.78(c)StandardStandard-levelNo
01/31/2025ReaccreditationL0646COST SAVING42 CFR 418.78(d)StandardStandard-levelNo
01/31/2025ReaccreditationL0647LEVEL OF ACTIVITY42 CFR 418.78(e)StandardStandard-levelNo
01/31/2025ReaccreditationL0648ORGANIZATIONAL ENVIRONMENT42 CFR 418.100ConditionCondition-levelNo
01/31/2025ReaccreditationL0651GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b)StandardStandard-levelNo
01/31/2025ReaccreditationL0678CONTENT42 CFR 418.104(a)(7)StandardStandard-levelNo
01/31/2025ReaccreditationL0679AUTHENTICATION42 CFR 418.104(b)StandardStandard-levelNo
01/31/2025ReaccreditationL0683DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2)StandardStandard-levelNo
01/31/2025ReaccreditationL0684DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(3)StandardStandard-levelNo
01/31/2025ReaccreditationL0695LABEL DISPOSE STORAGE DRUGS42 CFR 418.106(e)(2)(i)(A)StandardStandard-levelNo
01/31/2025ReaccreditationL0788PERSONNEL QUALIFICATION42 CFR 418.114(b)(4)StandardStandard-levelNo
01/31/2025ReaccreditationL0789PERSONNEL QUALIFICATION42 CFR 418.114(b)(5)StandardStandard-levelNo
01/31/2025ReaccreditationL0795CRIMINAL BACKGROUND CHECKS42 CFR 418.114(d)(1)StandardStandard-levelNo
03/03/2022ReaccreditationL0520INITIAL & COMPREHENSIVE ASSESSMENT OF PATIENT42 CFR 418.54ConditionCondition-levelNo
03/03/2022ReaccreditationL0524CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)StandardStandard-levelNo
03/03/2022ReaccreditationL0530CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6)StandardStandard-levelNo
03/03/2022ReaccreditationL0531CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(7)StandardStandard-levelNo
03/03/2022ReaccreditationL0540APPROACH TO SERVICE DELIVERY42 CFR 418.56(a)(1)StandardStandard-levelNo
03/03/2022ReaccreditationL0545CONTENT OF PLAN OF CARE42 CFR 418.56(c)StandardStandard-levelNo
03/03/2022ReaccreditationL0550CONTENT OF PLAN OF CARE42 CFR 418.56(c)(5)StandardStandard-levelNo
03/03/2022ReaccreditationL0555COORDINATION OF SERVICES42 CFR 418.56(e)(2)StandardStandard-levelNo
03/03/2022ReaccreditationL0587CORE SERVICES42 CFR 418.64ConditionCondition-levelNo
03/03/2022ReaccreditationL0588CORE SERVICES42 CFR 418.64StandardStandard-levelNo
03/03/2022ReaccreditationL0626HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2)StandardStandard-levelNo
03/03/2022ReaccreditationL0664MEDICAL DIRECTOR42 CFR 418.102ConditionCondition-levelNo
03/03/2022ReaccreditationL0665MEDICAL DIRECTOR42 CFR 418.102StandardStandard-levelNo
03/03/2022ReaccreditationL0679AUTHENTICATION42 CFR 418.104(b)StandardStandard-levelNo
03/03/2022ReaccreditationL0682DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)StandardStandard-levelNo
03/03/2022ReaccreditationL0683DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2)StandardStandard-levelNo