Agape Hospice & Palliative Care

DBA: Agape Hospice & Palliative Care
Hospice Service Agency | Medical

Facility Information

Address 4400 EAST BROADWAY BOULEVARD, SUITE 400, TUCSON, AZ 85711
Phone (520)207-5817
License HSPC9712 (Active)
License Owner PAINTED SKY HEALTHCARE, INC
Administrator KATHERINE PERKINS
Capacity N/A
License Effective 8/1/2025 - 7/31/2026
CCN (Medicare) 031614
Services:

No services listed

2
Total Inspections
5
Total Deficiencies
0
Complaint Inspections

Inspection History

INSP-0158460

Complete
Date: 8/27/2025
Type: Compliance (Annual)
Worksheet: Hospice Service Agency
SOD Sent: 2025-09-23

Summary:

The following deficiencies were found during the unannounced on-site State Compliance survey conducted on August 27, 2025 for Survey #1D4E8F-HI.Compliance Officer 08/27/2025

Deficiencies Found: 2

Deficiency #1

Rule/Regulation Violated:
R9-10-610. Patient Rights A. An administrator shall ensure that: 3. Policies and procedures include: b. Where patient rights are posted as required in subsection (A)(1).
Evidence/Findings:
Based on observation and staff interviews, the Department determined the hospice agency failed to ensure that facility policies and procedures include where the patient rights are conspicuously posted. This deficient practice prevents patients from making informed decisions regarding their care.

Deficiency #2

Rule/Regulation Violated:
R9-10-612. Hospice Services E. A director of nursing shall ensure that: 6. A registered dietitian or a personnel member under the direction of a registered dietitian plans menus for a patient;
Evidence/Findings:
Based on observation and staff interviews, the Department determined the hospice agency failed to provide evidence that their facility has a registered dietician on staff or contract, as required by R9-10-612(E)(6). This deficient practice has the potential for negatively impacting a patient’s nutritional needs.

INSP-0158461

Complete
Date: 8/27/2025 - 8/29/2025
Type: Other
Worksheet: Hospice Service Agency
SOD Sent: 2025-09-19

Summary:

Federal Comments:

42 CFR 418.3-418.116 Subpart C HospiceThe facility must meet all applicable Federal, State and local emergency preparedness requirements as outlined in the Medicare and Medicaid Programs:  Emergency Preparedness Requirements of Medicare and Medicaid Participating Providers and Suppliers Final Rule (81 FR 63860) September 16, 2016.This is a Recertification Survey for Medicare, and was conducted on August 27, 2025 through August 29, 2025.The following Standard level deficiencies were found during the survey. 

Deficiencies Found: 3

Deficiency #1

Rule/Regulation Violated:
§403.748(c)(1), §416.54(c)(1), §418.113(c)(1), §441.184(c)(1), §460.84(c)(1), §482.15(c)(1), §483.73(c)(1), §483.475(c)(1), §484.102(c)(1), §485.68(c)(1), §485.542(c)(1), §485.625(c)(1), §485.727(c)(1), §485.920(c)(1), §486.360(c)(1), §491.12(c)(1), §494.62(c)(1). [(c) The [facility must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years [annually for LTC facilities]. The communication plan must include all of the following:] (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [facilities]. (v) Volunteers. *[For Hospitals at §482.15(c) and CAHs at §485.625(c)] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians (iv) Other [hospitals and CAHs]. (v) Volunteers. *[For RNHCIs at §403.748(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Next of kin, guardian, or custodian. (iv) Other RNHCIs. (v) Volunteers. *[For ASCs at §416.45(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For Hospices at §418.113(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Hospice employees. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Other hospices. *[For HHAs at §484.102(c):] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. (iv) Volunteers. *[For OPOs at §486.360(c):] The communication plan must include all of the following: (2) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Volunteers. (iv) Other OPOs. (v) Transplant and donor hospitals in the OPO's Donation Service Area (DSA).
Evidence/Findings:
Based on review of facility policy, review of facility documentation and interview, it was determined the facility failed to include names and contact information for patient physicians in the facility communications plan.  Failure to provide contact information that could be needed during an emergency event in the facility communication plan can result in vital services being interrupted during an emergency event for staff and patients. 

Deficiency #2

Rule/Regulation Violated:
§403.748(c)(3), §416.54(c)(3), §418.113(c)(3), §441.184(c)(3), §460.84(c)(3), §482.15(c)(3), §483.73(c)(3), §483.475(c)(3), §484.102(c)(3), §485.68(c)(3), §485.542(c)(3), §485.625(c)(3), §485.727(c)(3), §485.920(c)(3), §486.360(c)(3), §491.12(c)(3), §494.62(c)(3). [(c) The [facility] must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years [annually for LTC facilities]. The communication plan must include all of the following: (3) Primary and alternate means for communicating with the following: (i) [Facility] staff. (ii) Federal, State, tribal, regional, and local emergency management agencies. *[For ICF/IIDs at §483.475(c):] (3) Primary and alternate means for communicating with the ICF/IID's staff, Federal, State, tribal, regional, and local emergency management agencies.
Evidence/Findings:
Based on record review and staff interviews it was determined the hospice failed to develop procedures outlining primary and specific alternate means for communication with Federal, State, tribal, regional, and local emergency management agencies. This deficient practice has the potential that communication may be delayed or lacking in the event of an emergency posing the risk for negative patient and staff outcomes.

Deficiency #3

Rule/Regulation Violated:
(2) Dietary counseling. Dietary counseling, when identified in the plan of care, must be performed by a qualified individual, which include dietitians as well as nurses and other individuals who are able to address and assure that the dietary needs of the patient are met.
Evidence/Findings:
Based on observation, documentation review, and staff interviews, it was determined the hospice agency failed to provide evidence that qualified dietician services are available to patients. This deficient practice has the potential to negatively impacting patient’s nutritional needs and quality of life.