Passages Hospice Care, INC

Inspection history (17)

Records from December 2021 to November 2024.

• November 20, 2024 · Standard

  Citation L0547

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 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 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0667

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0667 (CFR 418.102(b)) for Initial certification of 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 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0764

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0764 (CFR 418.112(c)(1)) for Written agreement. 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 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 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0552

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0552 (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 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0771

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0771 (CFR 418.112(c)(8)) for Written agreement. 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0533

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0533 (CFR 418.54(d)) for Update 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 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 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0530

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 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 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0715

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0715 (CFR 418.108(c)(5)) for Inpatient care provided under arrangements. 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0713

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0713 (CFR 418.108(c)(3)) for Inpatient care provided under arrangements. 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 2024-11-20.GOV

• November 20, 2024 · Standard

  Citation L0524

  Federal surveyors cited this hospice in a survey that ended on 2024-11-20 under CMS tag L0524 (CFR 418.54(c)) 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 2024-11-20.GOV

• December 22, 2021 · Standard

  Citation L0530

  Federal surveyors cited this hospice in a survey that ended on 2021-12-22 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 Initial. 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 2021-12-22.GOV

• December 22, 2021 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2021-12-22 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 Initial. 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 2021-12-22.GOV

• December 22, 2021 · Standard

  Citation L0547

  Federal surveyors cited this hospice in a survey that ended on 2021-12-22 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 Initial. 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 2021-12-22.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

Ownership information not yet on file.

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. Sep 1, 2026Ownership changed

   The source changed what it records about this listing's ownership.

   Reported by CMS home health hospice (hospice)

2. 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)