S&C QCOR Hospice 2567s
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Hospice 2567s
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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 March 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
▼ B21684 Golden Time Hospice Inc 24355 Lyons Ave, Ste 235 Santa Clarita CA 9 (San Francisco) 09/12/2024 ACHC 1243446 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0684 Discharge Or Transfer Of Care Standard
▼ B21684 Golden Time Hospice, Inc 24355 Lyons Ave Suite 235 Santa Clarita CA 9 (San Francisco) 08/14/2025 State Agency 1D3A37-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0676 Content Standard
▼ B21684 Golden Time Hospice, Inc 24355 Lyons Ave Suite 235 Santa Clarita CA 9 (San Francisco) 10/03/2025 State Agency 1D3A37-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0676 Content Standard
▼ B21686 Perpetual Days Hospice, Inc 21151 S Western Ave, Suite 284 Torrance CA 9 (San Francisco) 05/03/2023 TJC 446352935 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
▼ B21687 Psl Hospice Care, Inc 520 E Wilson Ave, Ste 230 Glendale CA 9 (San Francisco) 07/26/2024 ACHC 1237989 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ B21688 Pd Hospice, Inc. 10324 Balboa Blvd, Suite 200 Granada Hills CA 9 (San Francisco) 03/14/2024 TJC 451219865 Initial
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Condition
L0522 Initial Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Condition
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0797 Federal, State, Local Laws & Regulations Condition
L0825 N/A Standard
▼ B21689 Valley Community Hospice, Inc. 911 East San Antonio Drive Ste 8 Long Beach CA 9 (San Francisco) 07/31/2024 ACHC 1237984 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment 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
L0668 Recertification Of The Terminal Illness Standard
L0679 Authentication Standard
▼ B21690 Silver City Hospice And Palliative Care 121 S Glenoaks Blvd, Ste 1a Burbank CA 9 (San Francisco) 07/11/2024 ACHC 1234796 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ B21691 East Valley Hospice Inc 10646 Zelzah Avenue, Suite 201 Granada Hills CA 9 (San Francisco) 07/10/2024 ACHC 1236397 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0007 Ep Program Patient Population Standard
L0504 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0563 Program Data Standard
L0564 Program Data Standard
L0566 Program Activities Standard
L0567 Program Activities Standard
L0568 Program Activities Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0575 Executive Responsibilities Standard
L0580 Control Standard
L0581 Control Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0677 Content Standard
L0679 Authentication Standard
L0762 Professional Management Standard
▼ B21691 East Valley Hospice Inc 10646 Zelzah Avenue, Suite 201 Granada Hills CA 9 (San Francisco) 09/09/2024 ACHC 1241727 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0668 Recertification Of The Terminal Illness Standard