Hospice record · CCN 741764
Votive Hospice LLC
1204 N Llano St, Fredericksburg, TX, 78624
Total citations
72
across 4 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
55
unique L-tags cited
Most recent survey
07/17/2025
history from 06/10/2022
Citation history
Newest survey first. Every hospice deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level | Immed. jeopardy |
|---|---|---|---|---|---|
| 07/17/2025 | Follow-Up | L0646 | COST SAVING42 CFR 418.78(d) | StandardStandard-level | No |
| 07/17/2025 | Follow-Up | L0647 | LEVEL OF ACTIVITY42 CFR 418.78(e) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0001 | Establishment of the Emergency Program (EP)42 CFR 418.113 | ConditionCondition-level | No |
| 06/05/2025 | Reaccreditation | E0006 | Plan Based on All Hazards Risk Assessment42 CFR 418.113(a)(1) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0007 | EP Program Patient Population42 CFR 418.113(a)(3) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0009 | Local, State, Tribal Collaboration Process42 CFR 418.113(a)(4) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0016 | Hospice Follow up for Staff42 CFR 418.113(b)(1) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0018 | Procedures for Tracking of Staff and Patients42 CFR 418.113(b)(6)(ii) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0019 | Homebound HHA/Hospice Inform EP Officials42 CFR 418.113(b)(2) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0024 | Policies/Procedures-Volunteers and Staffing42 CFR 418.113(b)(4) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0025 | Arrangement with Other Facilities42 CFR 418.113(b)(5) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0029 | Development of Communication Plan42 CFR 418.113(c) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0030 | Names and Contact Information42 CFR 418.113(c)(1)(ii) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0033 | Methods for Sharing Information42 CFR 418.113(c)(4) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0034 | Information on Occupancy/Needs42 CFR 418.113(c)(7) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0036 | EP Training and Testing42 CFR 418.113(d) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0039 | EP Testing Requirements42 CFR 418.113(d)(2) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | E0042 | Integrated EP Program42 CFR 418.113(e)(4) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0505 | EXERCISE OF RIGHTS/RESPECT FOR PROPRTY/PERSON42 CFR 418.52(b)(1)(i) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0523 | TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0533 | UPDATE OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(d) | ConditionCondition-level | No |
| 06/05/2025 | Reaccreditation | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0547 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(2) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0555 | COORDINATION OF SERVICES42 CFR 418.56(e)(2) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0559 | QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58 | ConditionCondition-level | No |
| 06/05/2025 | Reaccreditation | L0564 | PROGRAM DATA42 CFR 418.58(b)(2)(ii) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0565 | PROGRAM DATA42 CFR 418.58(b)(3) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0570 | PROGRAM ACTIVITIES42 CFR 418.58(c)(3) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0574 | EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0575 | EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(2) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0580 | CONTROL42 CFR 418.60(b) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0581 | CONTROL42 CFR 418.60(b)(2)(ii) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0629 | SUPERVISION OF HOSPICE AIDES42 CFR 418.76(h)(1)(i) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0645 | RECRUITING AND RETAINING42 CFR 418.78(c) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0646 | COST SAVING42 CFR 418.78(d) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0647 | LEVEL OF ACTIVITY42 CFR 418.78(e) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 06/05/2025 | Reaccreditation | L0682 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(1)(i) | StandardStandard-level | No |
| 06/05/2025 | Reaccreditation | L0833 | N/A42 CFR 418.110(j) | StandardStandard-level | No |
| 08/17/2022 | Follow-Up | L0591 | NURSING SERVICES42 CFR 418.64(b)(1) | ConditionCondition-level | No |
| 08/17/2022 | Follow-Up | L0594 | MEDICAL SOCIAL SERVICES42 CFR 418.64(c) | StandardStandard-level | No |
| 08/17/2022 | Follow-Up | L0646 | COST SAVING42 CFR 418.78(d) | StandardStandard-level | No |
| 08/17/2022 | Follow-Up | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 08/17/2022 | Follow-Up | L0665 | MEDICAL DIRECTOR42 CFR 418.102 | ConditionCondition-level | No |
| 08/17/2022 | Follow-Up | L0674 | CONTENT42 CFR 418.104(a)(3) | StandardStandard-level | No |
| 08/17/2022 | Follow-Up | L0682 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(1)(i) | StandardStandard-level | No |
| 08/17/2022 | Follow-Up | L0684 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(3)(i) | StandardStandard-level | No |
| 08/17/2022 | Follow-Up | L0784 | PERSONNEL QUALIFICATION42 CFR 418.114(a) | ConditionCondition-level | No |
| 08/17/2022 | Follow-Up | L0795 | CRIMINAL BACKGROUND CHECKS42 CFR 418.114(d)(1) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | E0025 | Arrangement with Other Facilities42 CFR 418.113(b)(5) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0523 | TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0531 | CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(7) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0545 | CONTENT OF PLAN OF CARE42 CFR 418.56(c) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0553 | REVIEW OF THE PLAN OF CARE42 CFR 418.56(d) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0560 | QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58 | ConditionCondition-level | No |
| 06/10/2022 | Reaccreditation | L0579 | PREVENTION42 CFR 418.60(a) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0591 | NURSING SERVICES42 CFR 418.64(b)(1) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0594 | MEDICAL SOCIAL SERVICES42 CFR 418.64(c) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0596 | COUNSELING SERVICES42 CFR 418.64(d)(1)(iv) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0646 | COST SAVING42 CFR 418.78(d) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 06/10/2022 | Reaccreditation | L0655 | PROFESSIONAL MANAGEMENT RESPONSIBILITY42 CFR 418.100(e)(1) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0663 | TRAINING42 CFR 418.100(g)(3) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0665 | MEDICAL DIRECTOR42 CFR 418.102 | ConditionCondition-level | No |
| 06/10/2022 | Reaccreditation | L0671 | CLINICAL RECORDS42 CFR 418.104 | ConditionCondition-level | No |
| 06/10/2022 | Reaccreditation | L0674 | CONTENT42 CFR 418.104(a)(3) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0682 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(1)(ii) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0684 | DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(3)(iv) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0716 | INPATIENT CARE PROVIDED UNDER ARRANGEMENTS42 CFR 418.108(c)(6) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0774 | HOSPICE PLAN OF CARE42 CFR 418.112(d)(1) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0784 | PERSONNEL QUALIFICATION42 CFR 418.114(a) | StandardStandard-level | No |
| 06/10/2022 | Reaccreditation | L0798 | FEDERAL, STATE, LOCAL LAWS & REGULATIONS42 CFR 418.116 | ConditionCondition-level | No |