St Francis Hospice

Inspection history (39)

Records from April 2022 to October 2022.

• October 28, 2022 · Standard

  Citation K0293

  Federal surveyors cited this hospice in a survey that ended on 2022-10-28 under CMS tag K0293 for Exit Signage. 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 2022-10-28.GOV

• October 28, 2022 · Standard

  Citation K0353

  Federal surveyors cited this hospice in a survey that ended on 2022-10-28 under CMS tag K0353 for Sprinkler System - Maintenance and Testing. 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 2022-10-28.GOV

• October 28, 2022 · Standard

  Citation K0761

  Federal surveyors cited this hospice in a survey that ended on 2022-10-28 under CMS tag K0761 for Maintenance, Inspection & Testing - Doors. 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 2022-10-28.GOV

• July 28, 2022 · Standard

  Citation K0293

  Federal surveyors cited this hospice in a survey that ended on 2022-07-28 under CMS tag K0293 for Exit Signage. 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 2022-07-28.GOV

• July 28, 2022 · Standard

  Citation K0761

  Federal surveyors cited this hospice in a survey that ended on 2022-07-28 under CMS tag K0761 for Maintenance, Inspection & Testing - Doors. 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 2022-07-28.GOV

• July 28, 2022 · Standard

  Citation K0353

  Federal surveyors cited this hospice in a survey that ended on 2022-07-28 under CMS tag K0353 for Sprinkler System - Maintenance and Testing. 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 2022-07-28.GOV

• July 7, 2022 · Standard

  Citation L0628

  Federal surveyors cited this hospice in a survey that ended on 2022-07-07 under CMS tag L0628 (CFR 418.76(g)(4)) 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 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 2022-07-07.GOV

• July 7, 2022 · Standard

  Citation L0545

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

• July 7, 2022 · Standard

  Citation L0546

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

• July 7, 2022 · Standard

  Citation L0626

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

• July 7, 2022 · Standard

  Citation L0685

  Federal surveyors cited this hospice in a survey that ended on 2022-07-07 under CMS tag L0685 (CFR 418.104(f)) for Retrieval of clinical records. 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 2022-07-07.GOV

• July 7, 2022 · Standard

  Citation L0504

  Federal surveyors cited this hospice in a survey that ended on 2022-07-07 under CMS tag L0504 (CFR 418.52(a)(3)) for Notice of rights and responsibilities. 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 2022-07-07.GOV

• July 7, 2022 · Standard

  Citation L0531

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

• July 7, 2022 · Standard

  Citation L0667

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

• July 7, 2022 · Standard

  Citation L0736

  Federal surveyors cited this hospice in a survey that ended on 2022-07-07 under CMS tag L0736 (CFR 418.110(l)) for Meal service and menu planning. 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 2022-07-07.GOV

• July 7, 2022 · Standard

  Citation L0503

  Federal surveyors cited this hospice in a survey that ended on 2022-07-07 under CMS tag L0503 (CFR 418.52(a)(2)) for Notice of rights and responsibilities. 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 2022-07-07.GOV

• July 7, 2022 · Standard

  Citation L0523

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

• July 7, 2022 · Standard

  Citation L0677

  Federal surveyors cited this hospice in a survey that ended on 2022-07-07 under CMS tag L0677 (CFR 418.104(a)(6)) 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 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 2022-07-07.GOV

• July 7, 2022 · Standard

  Citation L0512

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

• July 7, 2022 · Standard

  Citation L0555

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

Non-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)