Peacehealth Southwest Hospice

Inspection history (20)

Records from December 2021 to April 2024.

• April 4, 2024 · Standard

  Citation L0625

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0523

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0523 (CFR 418.54(b)) for Timeframe for completion of 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 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0632

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0632 (CFR 418.76(h)(2)) 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 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 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. 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0827

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0827 (CFR 418.110(d)(1)(i)) for N/a. 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0838

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0838 (CFR 418.110(m)(2)) for N/a. 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0701

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0701 (CFR 418.106(f)(1)) 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0529

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 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 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0546

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0598

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0598 (CFR 418.64(d)(3)(i)) 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 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0581

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0581 (CFR 418.60(b)(2)(ii)) for Control. 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0552

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 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 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0839

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0839 (CFR 418.110(m)(3)) for N/a. 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 2024-04-04.GOV

• April 4, 2024 · Standard

  Citation L0678

  Federal surveyors cited this hospice in a survey that ended on 2024-04-04 under CMS tag L0678 (CFR 418.104(a)(7)) 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 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 2024-04-04.GOV

• January 12, 2022 · Standard

  Citation K0524

  Federal surveyors cited this hospice in a survey that ended on 2022-01-12 under CMS tag K0524 for HVAC - Direct-Vent Gas Fireplaces. CMS recorded this at the standard level, which sits under a condition of participation. K tags cover the Life Safety Code requirements, which apply to hospices that operate an inpatient facility. CMS recorded the survey type as Recertification. 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 2022-01-12.GOV

• January 12, 2022 · Standard

  Citation K0324

  Federal surveyors cited this hospice in a survey that ended on 2022-01-12 under CMS tag K0324 for Cooking Facilities. CMS recorded this at the standard level, which sits under a condition of participation. K tags cover the Life Safety Code requirements, which apply to hospices that operate an inpatient facility. CMS recorded the survey type as Recertification. 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 2022-01-12.GOV

• December 2, 2021 · Standard

  Citation L0547

  Federal surveyors cited this hospice in a survey that ended on 2021-12-02 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 Recertification. 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 2021-12-02.GOV

• December 1, 2021 · Standard

  Citation K0524

  Federal surveyors cited this hospice in a survey that ended on 2021-12-01 under CMS tag K0524 for HVAC - Direct-Vent Gas Fireplaces. CMS recorded this at the standard level, which sits under a condition of participation. K tags cover the Life Safety Code requirements, which apply to hospices that operate an inpatient facility. CMS recorded the survey type as Recertification. 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 2021-12-01.GOV

• December 1, 2021 · Standard

  Citation K0324

  Federal surveyors cited this hospice in a survey that ended on 2021-12-01 under CMS tag K0324 for Cooking Facilities. CMS recorded this at the standard level, which sits under a condition of participation. K tags cover the Life Safety Code requirements, which apply to hospices that operate an inpatient facility. CMS recorded the survey type as Recertification. 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 2021-12-01.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. 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)