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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ D61568 Real Assurance Healthcare Services Llc 21151 S Western Ave. #228 Torrance CA 9 (San Francisco) 10/29/2024 1249286 Initial
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0039 Ep Testing Requirements Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ D61570 Summit Hospice, Inc. 101 S. First St #405b Burbank CA 9 (San Francisco) 05/18/2022 42783 Initial
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0531 Content Of Comprehensive Assessment Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0697 Label Dispose Storage Drugs Standard
▼ Pending Greatness Hospice, Inc. 1241 S Glendale Ave, Suite 204e Glendale CA 9 (San Francisco) 10/07/2021 440227025 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0671 Clinical Records Standard
L0674 Content Standard
▼ Pending Marian Regional Medical Center 1400 E Church Street Santa Maria CA 9 (San Francisco) 10/14/2021 438089855 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0663 Training Standard
L0674 Content Standard
L0678 Content Standard
▼ Pending Ch Allied Services, Inc. 1600 East Broadway Columbia MO 7 (Kansas City) 10/15/2021 438596825 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Condition
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0671 Clinical Records Condition
L0781 Coordination Of Services Standard
L0798 Federal, State, Local Laws & Regulations Condition
▼ Pending St. Joseph Health System Home Health Agency, Llc 200 West Center Street Promenade, Suite 200 A Anaheim CA 9 (San Francisco) 10/21/2021 436795835 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0582 Education Standard
L0617 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0677 Content Standard
L0682 Discharge Or Transfer Of Care Standard
▼ Pending The 7c's Hospice, Inc. 190 Sierra Court, Suite # B-109 Palmdale CA 9 (San Francisco) 11/04/2021 439624505 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0725 Safety Management Standard
▼ Pending Allay 4 Hospice, Inc. 14350 Civic Drive Ste 130 Victorville CA 9 (San Francisco) 11/12/2021 39264 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0650 Serving The Hospice Patient And Family Standard
L0655 Professional Management Responsibility Standard
L0663 Training Standard
L0680 Protection Of Information Standard
L0683 Discharge Or Transfer Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0687 Drugs Biologicals Medical Supplies & Dme Standard
L0795 Criminal Background Checks Standard
▼ Pending Kaiser Foundation Hospital - Los Angeles 4867 Sunset Los Angeles CA 9 (San Francisco) 11/12/2021 439048455 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0678 Content Standard
▼ Pending Jan Hospice Care, Inc. 2015 Westwind Dr., Suite 7 Bakersfield CA 9 (San Francisco) 11/18/2021 38127 Initial
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0025 Arrangement With Other Facilities Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
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
L0552 Review Of The Plan Of Care Standard
L0581 Control Standard
L0651 Governing Body And Administrator Standard
L0662 Training Standard
L0664 Medical Director Condition
L0665 Medical Director Standard
L0673 Content Standard
L0678 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
L0798 Federal, State, Local Laws & Regulations Standard