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
▼ B41714 Medicalone Health 3240 Lone Tree Way Suite 203 Antioch CA 9 (San Francisco) 07/15/2022 ACHC 44105 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ B41714 Medicalone Health 3240 Lone Tree Way Suite 203 Antioch CA 9 (San Francisco) 07/31/2025 ACHC 1276601 Reaccreditation
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
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0565 Program Data Standard
L0572 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Condition
L0603 Phys, Occupnl Therapy & Speech-Lang Pathology Standard
L0607 Hospice Aide And Homemaker Services Condition
L0623 Hospice Aide Instructor Qualifications Standard
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
L0655 Professional Management Responsibility Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0765 Written Agreement Standard
L0766 Written Agreement Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0783 Personnel Qualification Condition
L0787 Personnel Qualification Standard
L0788 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ B41714 Medicalone Health 3240 Lone Tree Way Suite 203 Antioch CA 9 (San Francisco) 09/11/2025 ACHC 1275125 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0507 Exercise Of Rights/Respect For Proprty/Person Standard
L0513 Rights Of The Patient Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0522 Initial Assessment Standard
L0572 Performance Improvement Projects Standard
L0575 Executive Responsibilities Standard
L0587 Core Services Condition
L0587 Core Services Standard
L0623 Hospice Aide Instructor Qualifications Standard
L0626 Hospice Aide Assignments And Duties Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0670 Clinical Records Standard
L0670 Clinical Records Condition
L0673 Content Standard
▼ B41715 Encino Hospice Care, Inc 16430 Ventura Blvd, Suite 203a Encino CA 9 (San Francisco) 09/19/2024 ACHC 1241695 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
▼ B41716 Coastal Hospice Of Socal Inc 12465 Lewis, Suite 206 Garden Grove CA 9 (San Francisco) 07/14/2022 TJC 443620625 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
▼ B41716 Coastal Hospice Of Socal Inc 12465 Lewis St., Ste. 206 Garden Grove CA 9 (San Francisco) 06/20/2025 ACHC 1268454 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 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
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0677 Content Standard
L0697 Label Dispose Storage Drugs Standard
▼ B41716 Coastal Hospice Of Socal Inc 12465 Lewis St., Ste. 206 Garden Grove CA 9 (San Francisco) 08/07/2025 ACHC 1271151 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
▼ B41718 No Pain Hospice Care, Inc. 333 N Santa Anita Ave Arcadia CA 9 (San Francisco) 07/20/2022 ACHC 43320 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ B41720 Ingma Hospice Care 14545 Friar Street Suite 227 Van Nuys CA 9 (San Francisco) 08/24/2022 ACHC 43770 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0690 Ordering Of Drugs Standard
▼ B41721 Us Hospice Co 30495 Canwood Street, Ste. 204 Agoura Hills CA 9 (San Francisco) 08/07/2025 ACHC 1272731 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0679 Authentication Standard
L0774 Hospice Plan Of Care Standard