Gardens of Western Reserve Hospice

Inspection history (44)

All records are from July 2024.

• July 25, 2024 · Standard

  Citation L0504

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0504 (CFR 418.52(a)(3)) for Notice of rights and responsibilities. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0519

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0519 (CFR 418.52(c)(8)) for Rights of the patient. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0531 (CFR 418.54(c)(7)) for Content of comprehensive assessment. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0564

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0564 (CFR 418.58(b)(2)) for Program data. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation E0030

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag E0030 (CFR 418.113(c)(1)) for Names and Contact Information. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0518

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0518 (CFR 418.52(c)(7)) for Rights of the patient. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Condition

  Citation E0001

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag E0001 (CFR 418.113) for Establishment of the Emergency Program (EP). CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0555 (CFR 418.56(e)(2)) for Coordination of services. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0651

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0651 (CFR 418.100(b)) for Governing body and administrator. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0696

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0696 (CFR 418.106(e)(2)(i)(B)) for Label dispose storage drugs. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0549 (CFR 418.56(c)(4)) for Content of plan of care. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0596

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0596 (CFR 418.64(d)(1)) for Counseling services. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Condition

  Citation L0536

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0536 (CFR 418.56) for Idg, care planning, coordination of services. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0625

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0625 (CFR 418.76(g)(1)) for Hospice aide assignments and duties. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0515

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0515 (CFR 418.52(c)(4)) for Rights of the patient. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0615

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0615 (CFR 418.76(c)) for Competency evaluation. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Condition

  Citation L0648

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0648 (CFR 418.100) for Organizational environment. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0774

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0774 (CFR 418.112(d)(1)) for Hospice plan of care. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation E0006

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag E0006 (CFR 418.113(a)(1)) for Plan Based on All Hazards Risk Assessment. CMS recorded this at the standard level, which sits under a condition of participation. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

• July 25, 2024 · Standard

  Citation L0503

  Federal surveyors cited this hospice in a survey that ended on 2024-07-25 under CMS tag L0503 (CFR 418.52(a)(2)) for Notice of rights and responsibilities. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Reaccreditation. CMS recorded the survey as conducted by ACHC. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-25.GOV

Penalties

CMS publishes its civil money penalty and payment denial file for certified nursing homes only. No hospice appears in it, including this one. Enforcement here runs through the state licensing agency instead.

Staffing

Staffing hours are published for nursing homes and for no other kind of provider. Federal law requires Medicare- and Medicaid-certified nursing homes to file payroll-based nurse hours with CMS every quarter, and no agency collects the same return from hospices.

Ownership

For-Profit

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Jul 23, 2026First appeared in our data

   This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

   Reported by CMS home health hospice (hospice)