Serenity Hospice

Inspection history (34)

Records from January 2022 to March 2025.

• January 29, 2025 · Standard

  Citation L0581

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 E0039

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag E0039 (CFR 418.113(d)(2)) for EP Testing Requirements. 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 L0564

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 E0037

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag E0037 (CFR 418.113(d)(1)(iii)) for EP Training Program. 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 L0543

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0543 (CFR 418.56(b )) for 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 · Standard

  Citation L0573

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 L0645

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 L0647

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

• January 29, 2025 · Standard

  Citation L0702

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 L0596

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0596 (CFR 418.64(d)(1)(iv)) 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 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 L0532

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 under CMS tag L0532 (CFR 418.54(c)(8)) 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 L0662

  Federal surveyors cited this hospice in a survey that ended on 2025-01-29 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 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 7, 2022 · Standard

  Citation L0546

  Federal surveyors cited this hospice in a survey that ended on 2022-01-07 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 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 2022-01-07.GOV

• January 7, 2022 · Standard

  Citation L0512

  Federal surveyors cited this hospice in a survey that ended on 2022-01-07 under CMS tag L0512 (CFR 418.52(c)(1)) for Rights of the patient. 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 2022-01-07.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)