Hospice record · CCN 971549

Saint Paul Hospice Care LLC

11104 W Airport Blvd, Stafford, TX, 77477

Total citations
20
across 1 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
20
unique L-tags cited
Most recent survey
10/20/2022
history from 10/20/2022

Citation history

Newest survey first. Every hospice deficiency on file with CMS.
Survey dateTypeTagDeficiencyLevelImmed. jeopardy
10/20/2022ReaccreditationE0001Establishment of the Emergency Program (EP)42 CFR 418.113StandardStandard-levelNo
10/20/2022ReaccreditationE0006Plan Based on All Hazards Risk Assessment42 CFR 418.113(a)(1)StandardStandard-levelNo
10/20/2022ReaccreditationE0007EP Program Patient Population42 CFR 418.113(a)(3)StandardStandard-levelNo
10/20/2022ReaccreditationE0029Development of Communication Plan42 CFR 418.113(c)StandardStandard-levelNo
10/20/2022ReaccreditationE0036EP Training and Testing42 CFR 418.113(d)StandardStandard-levelNo
10/20/2022ReaccreditationL0530CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)(6)StandardStandard-levelNo
10/20/2022ReaccreditationL0555COORDINATION OF SERVICES42 CFR 418.56(e)(2)StandardStandard-levelNo
10/20/2022ReaccreditationL0559QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58ConditionCondition-levelNo
10/20/2022ReaccreditationL0560QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58StandardStandard-levelNo
10/20/2022ReaccreditationL0562PROGRAM SCOPE42 CFR 418.58(a)(2)StandardStandard-levelNo
10/20/2022ReaccreditationL0565PROGRAM DATA42 CFR 418.58(b)(3)StandardStandard-levelNo
10/20/2022ReaccreditationL0574EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1)StandardStandard-levelNo
10/20/2022ReaccreditationL0576EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(3)StandardStandard-levelNo
10/20/2022ReaccreditationL0579PREVENTION42 CFR 418.60(a)StandardStandard-levelNo
10/20/2022ReaccreditationL0626HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2)StandardStandard-levelNo
10/20/2022ReaccreditationL0645RECRUITING AND RETAINING42 CFR 418.78(c)StandardStandard-levelNo
10/20/2022ReaccreditationL0646COST SAVING42 CFR 418.78(d)StandardStandard-levelNo
10/20/2022ReaccreditationL0648ORGANIZATIONAL ENVIRONMENT42 CFR 418.100ConditionCondition-levelNo
10/20/2022ReaccreditationL0649ORGANIZATION AND ADMINISTRATION OF SERVICES42 CFR 418.100StandardStandard-levelNo
10/20/2022ReaccreditationL0685RETRIEVAL OF CLINICAL RECORDS42 CFR 418.104(f)StandardStandard-levelNo