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
B41557 Divine Intervention Hospice, Inc 44008 10th St W. Suite A Lancaster CA 9 (San Francisco) 09/26/2024 State Agency 61392-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0596 Counseling Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0680 Protection Of Information Standard
B41558 Chosen Hospice Care 1737 Victory Blvd. Glendale CA 9 (San Francisco) 05/23/2025 ACHC 1264992 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
B41559 Family Aid Hospice & Palliative Care Inc 7345 Topanga Canyon Blvd Ste 120 Canoga Park CA 9 (San Francisco) 05/03/2022 ACHC 42293 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
B41560 Zirra Hospice Care Inc 7321 Atoll Ave., Suite 103 North Hollywood CA 9 (San Francisco) 05/18/2022 ACHC 42010 Initial
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
B41560 Zirra Hospice Care Inc 7321 Atoll Ave., Suite 103 North Hollywood CA 9 (San Francisco) 06/06/2025 ACHC 1268509 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0512 Rights Of The Patient Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
B41563 Jtn Hospice Inc 14545 Friar Street, Suite 295 Van Nuys CA 9 (San Francisco) 04/28/2022 ACHC 42182 Initial
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
B41564 Upwm Healthcare Llc 2372 Morse Avenue, Suite 384 Irvine CA 9 (San Francisco) 11/06/2025 ACHC 1278054 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0677 Content Standard
L0680 Protection Of Information Standard
L0681 Retention Of Records Standard
B41565 White Oak Hospice Inc 17547 Ventura Blvd. #107a Encino CA 9 (San Francisco) 03/24/2022 TJC 441385955 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0798 Federal, State, Local Laws & Regulations Standard
B41567 Mar Hospice Care 5530 Corbin Avenue, Ste. 205 Tarzana CA 9 (San Francisco) 05/19/2022 ACHC 42919 Initial
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
L0673 Content Standard
B41567 Mar Hospice Care 5530 Corbin Avenue, Ste. 205 Tarzana CA 9 (San Francisco) 05/23/2025 ACHC 1264994 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0540 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
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard