Serenity Hospice Homes LLC

Inspection history (11)

All records are from December 2023.

• December 28, 2023 · Standard

  Citation L0684

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0684 (CFR 418.104(e)(3)) 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 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0596

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0596 (CFR 418.64(d)(1)) 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 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0626

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0626 (CFR 418.76(g)(2)) 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 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0549

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 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 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0784

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0784 (CFR 418.114(a)) for Personnel qualification. 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0789

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0789 (CFR 418.114(b)(5)) for Personnel qualification. 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0795

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 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 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0788

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0788 (CFR 418.114(b)(4)) for Personnel qualification. 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0523

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 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 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0791

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 under CMS tag L0791 (CFR 418.114(b)(7)) for Personnel qualification. 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 2023-12-28.GOV

• December 28, 2023 · Standard

  Citation L0530

  Federal surveyors cited this hospice in a survey that ended on 2023-12-28 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 2023-12-28.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

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

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)