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
▼ B41772 N S Hospice, Inc 14550 Archwood St Suite 103 Van Nuys CA 9 (San Francisco) 04/12/2024 State Agency 62BC2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment 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
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0680 Protection Of Information Standard
L0684 Discharge Or Transfer Of Care Standard
L0797 Federal, State, Local Laws & Regulations Standard
▼ B41772 N S Hospice, Inc 14550 Archwood St Suite 103 Van Nuys CA 9 (San Francisco) 09/26/2024 State Agency 62BC2-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment 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
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0678 Content Standard
L0680 Protection Of Information Standard
L0684 Discharge Or Transfer Of Care Standard
L0797 Federal, State, Local Laws & Regulations Standard
▼ B41772 N S Hospice, Inc 14550 Archwood St Suite 103 Van Nuys CA 9 (San Francisco) 01/08/2025 State Agency 62BC2-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0525 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0678 Content Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B41773 Salud Hospice Inc 14545 Friar Street Suite 296 Van Nuys CA 9 (San Francisco) 08/05/2022 ACHC 43923 Initial
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ B41774 Premiere Hospice And Palliative Care, Inc. 18645 Sherman Way, Ste. 106 Reseda CA 9 (San Francisco) 08/06/2025 ACHC 1272674 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ B41775 Almighty Hospice Care, Inc. 18159 1/2 Parthenia Street Northridge CA 9 (San Francisco) 07/25/2025 ACHC 1270967 Reaccreditation
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
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
L0569 Program Activities Standard
L0594 Medical Social Services Standard
L0673 Content Standard
L0677 Content Standard
L0679 Authentication Standard
L0696 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
L0800 Laboratory Services Standard
▼ B41776 Tlc Palliative Care Llc 14545 Friar Street Ste 152 Van Nuys CA 9 (San Francisco) 08/03/2022 ACHC 43922 Initial
Deficiency Tag Deficiency Description Tag Type
L0504 Notice Of Rights And Responsibilities Standard
▼ B41776 Tlc Palliative Llc 14545 Friar St. Suite 152 Van Nuys CA 9 (San Francisco) 08/09/2024 State Agency 63D45-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0584 Licensed Professional Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
▼ B41776 Tlc Palliative Llc 14545 Friar St. Suite 152 Van Nuys CA 9 (San Francisco) 10/10/2024 State Agency 63D45-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0584 Licensed Professional Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
▼ B41777 Golden Hospice Care Inc 14545 Friar St Suite 138 Van Nuys CA 9 (San Francisco) 07/21/2022 ACHC 43548 Initial
Deficiency Tag Deficiency Description Tag Type
E0030 Names And Contact Information Standard
L0625 Hospice Aide Assignments And Duties Standard
L0695 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard