S&C QCOR Hospice 2567s
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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
▼ B51736 Ray Hospice Inc. 14120 Victory Blvd #103 Van Nuys CA 9 (San Francisco) 08/17/2023 ACHC 1185183 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
▼ B51737 Sheldon Hospice 19531 Ventura Blvd #10 Tarzana CA 9 (San Francisco) 02/23/2023 TJC 446010685 Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0545 Content Of Plan Of Care Standard
L0653 Services Standard
▼ B51737 Sheldon Hospice 19531 Ventura Blvd #10 Tarzana CA 9 (San Francisco) 04/03/2025 TJC 455511755 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
▼ B51738 Safe Hands Hospice Care Inc 14545 Friar St. Ste 282 Van Nuys CA 9 (San Francisco) 10/27/2023 ACHC 1281920 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
▼ B51739 Valhalla Hospice Llc 13737 Artesia Blvd, Ste 207 Cerritos CA 9 (San Francisco) 08/31/2023 CHAP AUG2923_KWH_8548846_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0673 Content Standard
▼ B51741 Fortuna Hospice Inc 735 W. Duarte Rd., Ste. 203 Arcadia CA 9 (San Francisco) 08/18/2023 ACHC 1183789 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
L0553 Review Of The Plan Of Care Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B51742 Zd Hospice Care Inc 14545 Friar St. Ste 147 Van Nuys CA 9 (San Francisco) 07/07/2023 ACHC 1183347 Initial
Deficiency Tag Deficiency Description Tag Type
L0673 Content Standard
▼ B51743 Piney Creek Hospice Care 14545 Friar St., Suite 145 Van Nuys CA 9 (San Francisco) 06/16/2023 ACHC 1176114 Initial
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ B51744 Mary's Help Hospice Services 3469 Tennessee Street , 103 Vallejo CA 9 (San Francisco) 12/24/2025 CHAP DEC2225_GWD_8546674_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
▼ B51745 Exceptional Hospice Care 818 N. Mountain Ave., Ste 103 Upland CA 9 (San Francisco) 04/05/2023 ACHC 1169073 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard