Margaret Mary Health Hospice

Inspection history (13)

Records from July 2022 to July 2025.

• July 2, 2025 · Standard

  Citation L0647

  Federal surveyors cited this hospice in a survey that ended on 2025-07-02 under CMS tag L0647 (CFR 418.78(e)) for Level of activity. 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 2025-07-02.GOV

• July 2, 2025 · Standard

  Citation L0668

  Federal surveyors cited this hospice in a survey that ended on 2025-07-02 under CMS tag L0668 (CFR 418.102(c)) for Recertification of the terminal illness. 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 2025-07-02.GOV

• July 2, 2025 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2025-07-02 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 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 2025-07-02.GOV

• July 22, 2022 · Standard

  Citation L0626

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 under CMS tag L0626 (CFR 418.76(g)(2)(ii)) 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation L0615

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 under CMS tag L0615 (CFR 418.76(c)(1)) 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation L0546

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation E0019

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 under CMS tag E0019 (CFR 418.113(b)(2)) for Homebound HHA/Hospice Inform EP Officials. 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation L0702

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 under CMS tag L0702 (CFR 418.106(f)(2)) for Use and mintenance of equipment and supplies. 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation E0007

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 under CMS tag E0007 (CFR 418.113(a)(3)) for EP Program Patient Population. 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation L0625

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 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 Initial. 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 2022-07-22.GOV

• July 22, 2022 · Standard

  Citation E0016

  Federal surveyors cited this hospice in a survey that ended on 2022-07-22 under CMS tag E0016 (CFR 418.113(b)(1)) for Hospice Follow up for Staff. 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 Initial. 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 2022-07-22.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

Non-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)