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Hospice record · CCN A91557

ALPHA HOSPICE PLUS INC

346 OAKS TRAIL, SUITE 211, GARLAND, TX, 75043

Total citations
50
across 2 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
47
unique L-tags cited
Most recent survey
07/10/2025
history from 08/26/2022

Citation history

Newest survey first. Every hospice deficiency on file with CMS.
Survey dateTypeTagDeficiencyLevelImmed. jeopardy
07/10/2025ReaccreditationE0001Establishment of the Emergency Program (EP)42 CFR 418.113ConditionCondition-levelNo
07/10/2025ReaccreditationE0004Develop EP Plan, Review and Update Annually42 CFR 418.113(a)StandardStandard-levelNo
07/10/2025ReaccreditationE0006Plan Based on All Hazards Risk Assessment42 CFR 418.113(a)(1)StandardStandard-levelNo
07/10/2025ReaccreditationE0007EP Program Patient Population42 CFR 418.113(a)(3)StandardStandard-levelNo
07/10/2025ReaccreditationE0009Local, State, Tribal Collaboration Process42 CFR 418.113(a)(4)StandardStandard-levelNo
07/10/2025ReaccreditationE0016Hospice Follow up for Staff42 CFR 418.113(b)(1)StandardStandard-levelNo
07/10/2025ReaccreditationE0025Arrangement with Other Facilities42 CFR 418.113(b)(5)StandardStandard-levelNo
07/10/2025ReaccreditationE0026Roles Under a Waiver Declared by Secretary42 CFR 418.113(b)(6)(iv)StandardStandard-levelNo
07/10/2025ReaccreditationE0030Names and Contact Information42 CFR 418.113(c)(1)StandardStandard-levelNo
07/10/2025ReaccreditationE0032Primary/Alternate Means for Communication42 CFR 418.113(c)(3)StandardStandard-levelNo
07/10/2025ReaccreditationE0037EP Training Program42 CFR 418.113(d)(1)StandardStandard-levelNo
07/10/2025ReaccreditationE0039EP Testing Requirements42 CFR 418.113(d)(2)StandardStandard-levelNo
07/10/2025ReaccreditationL0502NOTICE OF RIGHTS AND RESPONSIBILITIES42 CFR 418.52(a)(1)StandardStandard-levelNo
07/10/2025ReaccreditationL0503NOTICE OF RIGHTS AND RESPONSIBILITIES42 CFR 418.52(a)(2)StandardStandard-levelNo
07/10/2025ReaccreditationL0524CONTENT OF COMPREHENSIVE ASSESSMENT42 CFR 418.54(c)StandardStandard-levelNo
07/10/2025ReaccreditationL0540APPROACH TO SERVICE DELIVERY42 CFR 418.56(a)StandardStandard-levelNo
07/10/2025ReaccreditationL0545CONTENT OF PLAN OF CARE42 CFR 418.56(c)StandardStandard-levelNo
07/10/2025ReaccreditationL0548CONTENT OF PLAN OF CARE42 CFR 418.56(c)(3)StandardStandard-levelNo
07/10/2025ReaccreditationL0559QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58ConditionCondition-levelNo
07/10/2025ReaccreditationL0561PROGRAM SCOPE42 CFR 418.58(a)(1)StandardStandard-levelNo
07/10/2025ReaccreditationL0562PROGRAM SCOPE42 CFR 418.58(a)(2)StandardStandard-levelNo
07/10/2025ReaccreditationL0564PROGRAM DATA42 CFR 418.58(b)(2)(ii)StandardStandard-levelNo
07/10/2025ReaccreditationL0565PROGRAM DATA42 CFR 418.58(b)(3)StandardStandard-levelNo
07/10/2025ReaccreditationL0569PROGRAM ACTIVITIES42 CFR 418.58(c)(2)StandardStandard-levelNo
07/10/2025ReaccreditationL0570PROGRAM ACTIVITIES42 CFR 418.58(c)(3)StandardStandard-levelNo
07/10/2025ReaccreditationL0571PERFORMANCE IMPROVEMENT PROJECTS42 CFR 418.58(d)StandardStandard-levelNo
07/10/2025ReaccreditationL0574EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(1)StandardStandard-levelNo
07/10/2025ReaccreditationL0576EXECUTIVE RESPONSIBILITIES42 CFR 418.58(e)(3)StandardStandard-levelNo
07/10/2025ReaccreditationL0580CONTROL42 CFR 418.60(b)(1)StandardStandard-levelNo
07/10/2025ReaccreditationL0582EDUCATION42 CFR 418.60(c)StandardStandard-levelNo
07/10/2025ReaccreditationL0586LICENSED PROFESSIONAL SERVICES42 CFR 418.62(c)StandardStandard-levelNo
07/10/2025ReaccreditationL0645RECRUITING AND RETAINING42 CFR 418.78(c)StandardStandard-levelNo
07/10/2025ReaccreditationL0648ORGANIZATIONAL ENVIRONMENT42 CFR 418.100ConditionCondition-levelNo
07/10/2025ReaccreditationL0650SERVING THE HOSPICE PATIENT AND FAMILY42 CFR 418.100(a)StandardStandard-levelNo
07/10/2025ReaccreditationL0661TRAINING42 CFR 418.100(g)(1)StandardStandard-levelNo
07/10/2025ReaccreditationL0662TRAINING42 CFR 418.100(g)(2)StandardStandard-levelNo
07/10/2025ReaccreditationL0663TRAINING42 CFR 418.100(g)(3)StandardStandard-levelNo
07/10/2025ReaccreditationL0672CONTENT42 CFR 418.104(a)(1)StandardStandard-levelNo
07/10/2025ReaccreditationL0673CONTENT42 CFR 418.104(a)(2)StandardStandard-levelNo
07/10/2025ReaccreditationL0676CONTENT42 CFR 418.104(a)(5)StandardStandard-levelNo
07/10/2025ReaccreditationL0678CONTENT42 CFR 418.104(a)(7)StandardStandard-levelNo
07/10/2025ReaccreditationL0683DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2)(i)StandardStandard-levelNo
07/10/2025ReaccreditationL0684DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(3)(i)StandardStandard-levelNo
07/10/2025ReaccreditationL0695LABEL DISPOSE STORAGE DRUGS42 CFR 418.106(e)(2)(i)(A)StandardStandard-levelNo
07/10/2025ReaccreditationL0795CRIMINAL BACKGROUND CHECKS42 CFR 418.114(d)(1)StandardStandard-levelNo
08/26/2022InitialL0523TIMEFRAME FOR COMPLETION OF ASSESSMENT42 CFR 418.54(b)StandardStandard-levelNo
08/26/2022InitialL0672CONTENT42 CFR 418.104(a)(1)StandardStandard-levelNo
08/26/2022InitialL0676CONTENT42 CFR 418.104(a)(5)StandardStandard-levelNo
08/26/2022InitialL0683DISCHARGE OR TRANSFER OF CARE42 CFR 418.104(e)(2)StandardStandard-levelNo
08/26/2022InitialL0900COVID-19 Vaccination of Facility Staff42 CFR 418.60(d)(3)(ii)StandardStandard-levelNo