Heavenly Gates Hospice, INC

Inspection history (29)

Records from March 2023 to October 2024.

• October 31, 2024 · Standard

  Citation L0516

  Federal surveyors cited this hospice in a survey that ended on 2024-10-31 under CMS tag L0516 (CFR 418.52(c)(5)) 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-10-31.GOV

• October 31, 2024 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2024-10-31 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-10-31.GOV

• October 31, 2024 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2024-10-31 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-10-31.GOV

• October 31, 2024 · Standard

  Citation L0503

  Federal surveyors cited this hospice in a survey that ended on 2024-10-31 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-10-31.GOV

• October 31, 2024 · Standard

  Citation L0530

  Federal surveyors cited this hospice in a survey that ended on 2024-10-31 under CMS tag L0530 (CFR 418.54(c)(6)) 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-10-31.GOV

• October 31, 2024 · Standard

  Citation L0546

  Federal surveyors cited this hospice in a survey that ended on 2024-10-31 under CMS tag L0546 (CFR 418.56(c)(1)) 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-10-31.GOV

• September 23, 2024 · Standard

  Citation L0503

  Federal surveyors cited this hospice in a survey that ended on 2024-09-23 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-09-23.GOV

• September 23, 2024 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2024-09-23 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-09-23.GOV

• September 23, 2024 · Standard

  Citation L0516

  Federal surveyors cited this hospice in a survey that ended on 2024-09-23 under CMS tag L0516 (CFR 418.52(c)(5)) 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-09-23.GOV

• September 23, 2024 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2024-09-23 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-09-23.GOV

• September 23, 2024 · Standard

  Citation L0530

  Federal surveyors cited this hospice in a survey that ended on 2024-09-23 under CMS tag L0530 (CFR 418.54(c)(6)) 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-09-23.GOV

• September 23, 2024 · Standard

  Citation L0546

  Federal surveyors cited this hospice in a survey that ended on 2024-09-23 under CMS tag L0546 (CFR 418.56(c)(1)) 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 Complaint. CMS recorded the survey as conducted by a state survey agency. 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 2024-09-23.GOV

• May 5, 2023 · Standard

  Citation L0553

  Federal surveyors cited this hospice in a survey that ended on 2023-05-05 under CMS tag L0553 (CFR 418.56(d)) for Review of the 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 Follow-Up. CMS recorded the survey as conducted by TJC. 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 2023-05-05.GOV

• May 5, 2023 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2023-05-05 under CMS tag L0545 (CFR 418.56(c)) 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 Follow-Up. CMS recorded the survey as conducted by TJC. 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 2023-05-05.GOV

• March 16, 2023 · Standard

  Citation L0535

  Federal surveyors cited this hospice in a survey that ended on 2023-03-16 under CMS tag L0535 (CFR 418.54(e)(2)) for Patient outcome measures. 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 TJC. 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 2023-03-16.GOV

• March 16, 2023 · Standard

  Citation L0553

  Federal surveyors cited this hospice in a survey that ended on 2023-03-16 under CMS tag L0553 (CFR 418.56(d)) for Review of the 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 TJC. 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 2023-03-16.GOV

• March 16, 2023 · Standard

  Citation L0561

  Federal surveyors cited this hospice in a survey that ended on 2023-03-16 under CMS tag L0561 (CFR 418.58(a)(1)) for Program scope. 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 TJC. 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 2023-03-16.GOV

• March 16, 2023 · Condition

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2023-03-16 under CMS tag L0549 (CFR 418.56(c)(4)) for Content of plan of care. 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 TJC. 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 2023-03-16.GOV

• March 16, 2023 · Standard

  Citation L0625

  Federal surveyors cited this hospice in a survey that ended on 2023-03-16 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 TJC. 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 2023-03-16.GOV

• March 16, 2023 · Standard

  Citation L0547

  Federal surveyors cited this hospice in a survey that ended on 2023-03-16 under CMS tag L0547 (CFR 418.56(c)(2)) 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 TJC. 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 2023-03-16.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)