Serenity Hospice

Inspection history (34)

Records from January 2022 to March 2025.

• March 10, 2025 · Standard

  Citation L0564

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 under CMS tag L0564 (CFR 418.58(b)(2)(ii)) for Program data. 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 2025-03-10.GOV

• March 10, 2025 · Standard

  Citation L0662

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 under CMS tag L0662 (CFR 418.100(g)(2)) for Training. 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 2025-03-10.GOV

• March 10, 2025 · Condition

  Citation L0651

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 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 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 2025-03-10.GOV

• March 10, 2025 · Standard

  Citation L0573

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 under CMS tag L0573 (CFR 418.58(d)(2)) for Performance improvement projects. 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 2025-03-10.GOV

• March 10, 2025 · Standard

  Citation L0561

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 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 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 2025-03-10.GOV

• March 10, 2025 · Standard

  Citation L0645

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 under CMS tag L0645 (CFR 418.78(c)) for Recruiting and retaining. 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 2025-03-10.GOV

• March 10, 2025 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 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 2025-03-10.GOV

• March 10, 2025 · Condition

  Citation L0547

  Federal surveyors cited this hospice in a survey that ended on 2025-03-10 under CMS tag L0547 (CFR 418.56(c)(2)) 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 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 2025-03-10.GOV

• January 29, 2025 · Condition

  Citation L0651

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0676

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0676 (CFR 418.104(a)(5)) 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0547

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 2025-01-29.GOV

• January 29, 2025 · Condition

  Citation L0559

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0559 (CFR 418.58) for Quality assessment & performance improvement. 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0629

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation E0001

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag E0001 (CFR 418.113) for Establishment of the Emergency Program (EP). 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 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0561

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0646

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0646 (CFR 418.78(d)(1)) for Cost saving. 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0652

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0652 (CFR 418.100(c)(1)(v)) 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 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0531

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0682

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0682 (CFR 418.104(e)(1)(i)) for Discharge or transfer 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 2025-01-29.GOV

• January 29, 2025 · Standard

  Citation L0555

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 2025-01-29.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)