S&C QCOR Hospice 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ B51662 Ayas Hospice, Inc. 101 S. First St. #203 Burbank CA 9 (San Francisco) 10/20/2022 TJC 444694315 Initial
Deficiency Tag Deficiency Description Tag Type
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0039 Ep Testing Requirements Standard
E0042 Integrated Ep Program Standard
L0546 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0582 Education Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
▼ B51662 Ayas Hospice, Inc. 101 S. First St. #203 Burbank CA 9 (San Francisco) 03/10/2023 TJC 445366005 Initial
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0579 Prevention Standard
L0663 Training Standard
L0678 Content Standard
▼ B51663 One Care Hospice, Inc. 7251 Owensmouth Ave, #7 Canoga Park CA 9 (San Francisco) 10/27/2022 TJC 442562635 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Condition
L0579 Prevention Standard
L0651 Governing Body And Administrator Standard
L0665 Medical Director Condition
▼ B51663 One Care Hospice, Inc. 7251 Owensmouth Ave, #7 Canoga Park CA 9 (San Francisco) 03/08/2023 TJC 445417515 Initial
Deficiency Tag Deficiency Description Tag Type
L0678 Content Standard
L0680 Protection Of Information Standard
▼ B51664 Rise N Shine Hospice Inc 19634 Ventura Blvd, Ste #205 Tarzana CA 9 (San Francisco) 03/16/2023 CHAP MAR1423_ZPL_8548810_ Initial
Deficiency Tag Deficiency Description Tag Type
L0671 Clinical Records Standard
L0683 Discharge Or Transfer Of Care Standard
L0692 Administration Of Drugs And Biologicals Standard
▼ B51664 Rise N Shine Hospice Inc 19634 Ventura Blvd Unit 205 Tarzana CA 9 (San Francisco) 06/06/2025 State Agency 66516-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0512 Rights Of The Patient Standard
L0513 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of 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
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0670 Clinical Records Condition
L0677 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B51666 Hospice Of Omega, Inc. 4700 Brooks Street Montclair CA 9 (San Francisco) 10/21/2021 TJC 440083805 Initial
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0652 Services Standard
▼ B51666 Hospice Of Omega Inc 4700 Brooks Street Montclair CA 9 (San Francisco) 11/14/2024 State Agency 64A10-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0032 Primary/Alternate Means For Communication Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0580 Control Standard
L0693 Label Dispose Storage Drugs Standard
▼ B51666 Hospice Of Omega Inc 4700 Brooks Street Montclair CA 9 (San Francisco) 12/03/2024 State Agency 64A10-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0032 Primary/Alternate Means For Communication Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0580 Control Standard
L0693 Label Dispose Storage Drugs Standard
▼ B51667 Active Light Hospice, Inc. 303 N Glenoaks Blvd, Suite 245 Burbank CA 9 (San Francisco) 04/04/2023 ACHC 1169071 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard