S&C QCOR Hospice 2567s
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Hospice 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data are available from October 2021 through June 2026.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific Hospice deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN

Use these filters if you want to search by a specific CMS Certification Number (CCN).

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
▼ D61563 St Lukes Hospice And Palliative Care Inc 224 E Olive Ave Suite 207 Burbank CA 9 (San Francisco) 08/06/2025 ACHC 1271188 Initial
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
▼ D61564 One Health Hospice Inc. 2133 Las Positas Ct, Suite J Livermore CA 9 (San Francisco) 02/09/2023 TJC 439224015 Initial
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0581 Control Standard
L0596 Counseling Services Standard
L0615 Competency Evaluation Standard
L0620 In-Service Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0655 Professional Management Responsibility Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0678 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0795 Criminal Background Checks Standard
▼ D61564 One Health Hospice Inc. 2133 Las Positas Ct, Suite J Livermore CA 9 (San Francisco) 08/08/2025 TJC 454835235 Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0598 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0674 Content Standard
▼ D61566 Hope Fort Hospice Care, Inc. 124 E Santa Fe Ave, Suite. 202 Azusa CA 9 (San Francisco) 06/20/2025 ACHC 1268453 Initial
Deficiency Tag Deficiency Description Tag Type
L0615 Competency Evaluation Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0713 Inpatient Care Provided Under Arrangements Standard
▼ D61567 Dignity Hospice 215 S. Laurel Avenue Ontario CA 9 (San Francisco) 07/17/2025 TJC 458416835 Initial
Deficiency Tag Deficiency Description Tag Type
E0036 Ep Training And Testing Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0575 Executive Responsibilities Standard
L0615 Competency Evaluation Standard
L0633 Supervision Of Hospice Aides Standard
L0663 Training Standard
L0795 Criminal Background Checks Standard
▼ D61568 Real Assurance Healthcare Services Llc 21151 S Western Ave. #228 Torrance CA 9 (San Francisco) 10/29/2024 ACHC 1249286 Initial
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ D61570 Summit Hospice, Inc. 101 S. First St #405b Burbank CA 9 (San Francisco) 05/18/2022 ACHC 42783 Initial
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0531 Content Of Comprehensive Assessment Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0697 Label Dispose Storage Drugs Standard
▼ D61571 Aevum Hospice Llc 1302 B Marsh St San Luis Obispo CA 9 (San Francisco) 12/11/2025 ACHC 1278655 Initial
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ E21500 Fairbranch Health Services Llc 300 E Davis St Suite 122 Mckinney TX 6 (Dallas) 07/16/2025 ACHC 1269375 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
▼ E21501 Samson Healthcare, Llc 3421 W Davis St, Ste 150 Conroe TX 6 (Dallas) 10/02/2025 CHAP SEP3025_ONP_8551334_ Initial
Deficiency Tag Deficiency Description Tag Type
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0796 Criminal Background Checks Standard