S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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 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
B31514 Reputable Hospice Care 1122 E Lincoln Ave Suite B500 Orange CA 9 (San Francisco) 09/30/2024 State Agency 6400C-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
B31514 Reputable Hospice Care 1122 E. Lincoln Ave., Suite B500 Orange CA 9 (San Francisco) 12/06/2024 ACHC 1251276 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0547 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
L0647 Level Of Activity Standard
L0679 Authentication Standard
B31516 Valley Pacific Hospice Inc 1050 E. Yorba Linda Blvd, Suite 206 Placentia CA 9 (San Francisco) 10/21/2021 ACHC 38362 Initial
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
B31517 Mbs Hospice Care Inc 12644 Hoover St Garden Grove CA 9 (San Francisco) 12/08/2021 ACHC 40333 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
B31517 Mbs Hospice Care Inc 12644 Hoover St Garden Grove CA 9 (San Francisco) 06/05/2025 ACHC 1268434 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
L0530 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
L0539 Approach To Service Delivery Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0564 Program Data Standard
L0569 Program Activities Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
B31518 Ava Hospice Corp 333 N Santa Anita Ave, Suite 13 Arcadia CA 9 (San Francisco) 09/27/2024 ACHC 1243466 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0679 Authentication Standard
B31519 Grant Palliative Services Inc 6320 Van Nuys Blvd, Suite 301 Van Nuys CA 9 (San Francisco) 10/07/2021 ACHC 38352 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
B31520 Skylar Hospice Care Inc. 15450 Ventura Blvd. Suite 104 Sherman Oaks CA 9 (San Francisco) 12/14/2021 ACHC 39929 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0579 Prevention Standard
B31520 Skylar Hospice Care Inc. 15450 Ventura Blvd. Suite 104 Sherman Oaks CA 9 (San Francisco) 12/18/2024 ACHC 1251871 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0544 Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0615 Competency Evaluation Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
B31521 Top Quality Hospice & Palliative Care Inc 5315 Laurel Canyon Blvd, Ste 106 Valley Village CA 9 (San Francisco) 10/21/2021 ACHC 38833 Initial
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard