Oak Creek Hospice, LLC

Inspection history (20)

Records from September 2022 to February 2026.

• February 20, 2026 · Standard

  Citation L0653

  Federal surveyors cited this hospice in a survey that ended on 2026-02-20 under CMS tag L0653 (CFR 418.100(c)(2)) for 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2026-02-20.GOV

• February 20, 2026 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2026-02-20 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2026-02-20.GOV

• February 20, 2026 · Standard

  Citation L0548

  Federal surveyors cited this hospice in a survey that ended on 2026-02-20 under CMS tag L0548 (CFR 418.56(c)(3)) 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2026-02-20.GOV

• February 20, 2026 · Standard

  Citation L0781

  Federal surveyors cited this hospice in a survey that ended on 2026-02-20 under CMS tag L0781 (CFR 418.112(e)(3)(iii)) 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2026-02-20.GOV

• September 15, 2022 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 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 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0503

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 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 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0795

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0795 (CFR 418.114(d)(1)) for Criminal background checks. 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0619

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0619 (CFR 418.76(c)(5)) 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 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 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 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0674

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0674 (CFR 418.104(a)(3)) for Content. 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0529

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0529 (CFR 418.54(c)(5)) 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 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 2022-09-15.GOV

• September 15, 2022 · Condition

  Citation L0651

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0651 (CFR 418.100(b)) for Governing body and administrator. 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0774

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 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 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0629

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0629 (CFR 418.76(h)(1)(i)) for Supervision of hospice aides. 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 2022-09-15.GOV

• September 15, 2022 · Condition

  Citation L0667

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0667 (CFR 418.102(b)(3)) for Initial certification of terminal illness. 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0501

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0501 (CFR 418.52) for Patients rights. 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0548

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0548 (CFR 418.56(c)(3)) 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0553

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 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 2022-09-15.GOV

• September 15, 2022 · Standard

  Citation L0550

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0550 (CFR 418.56(c)(5)) 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 2022-09-15.GOV

• September 15, 2022 · Condition

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2022-09-15 under CMS tag L0545 (CFR 418.56(c)) 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 2022-09-15.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)