St Mary's Hospice Services, INC

Inspection history (41)

Records from April 2022 to April 2025.

• April 17, 2025 · Standard

  Citation L0591

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0591 (CFR 418.64(b)(1)) for Nursing 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0530

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0530 (CFR 418.54(c)(6)(i)) 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0596

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0596 (CFR 418.64(d)(1)(ii)) 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0683

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0683 (CFR 418.104(e)(2)(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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0781

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0781 (CFR 418.112(e)(3)(ii)) 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0667

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0667 (CFR 418.102(b)(1)) 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0682

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation E0006

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag E0006 (CFR 418.113(a)(1)) for Plan Based on All Hazards Risk Assessment. 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0552

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0684

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0684 (CFR 418.104(e)(3)(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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0515

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0515 (CFR 418.52(c)(4)) 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0548

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0548 (CFR 418.56(c)(3)) 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0533

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag L0533 (CFR 418.54(d)) for Update 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 with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation E0029

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag E0029 (CFR 418.113(c)) for Development of Communication Plan. 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation E0037

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag E0037 (CFR 418.113(d)(1)) 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Condition

  Citation E0001

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag E0001 (CFR 418.113) for Establishment of the Emergency Program (EP). CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. E tags cover the Medicare emergency preparedness requirements. CMS recorded the survey type as Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation L0564

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• April 17, 2025 · Standard

  Citation E0004

  Federal surveyors cited this hospice in a survey that ended on 2025-04-17 under CMS tag E0004 (CFR 418.113(a)) for Develop EP Plan, Review and Update Annually. 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 Initial with CCN. CMS recorded the survey as conducted by CHAP. 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 2025-04-17.GOV

• July 19, 2022 · Standard

  Citation L0545

  Federal surveyors cited this hospice in a survey that ended on 2022-07-19 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 2022-07-19.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)