| CMS Certification Number |
Facility Name |
Address |
City |
State |
CMS Region |
Survey Date |
Surveyed By |
Survey Event ID |
Survey Type |
Statement of Deficiencies Report |
|
▼
551523
|
Nurses Plus Hospice, Inc. |
11428 Artesia Blvd., Suite 3 |
Artesia |
CA |
9 (San Francisco) |
08/11/2022 |
TJC |
439548285 |
Reaccreditation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| L0545 |
Content Of Plan Of Care |
Standard |
|
|
|
▼
551523
|
Nurses Plus Hospice, Inc. |
11428 Artesia Blvd., Suite 3 |
Artesia |
CA |
9 (San Francisco) |
08/07/2025 |
TJC |
455566015 |
Reaccreditation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| L0546 |
Content Of Plan Of Care |
Standard |
|
| L0555 |
Coordination Of Services |
Standard |
|
| L0579 |
Prevention |
Standard |
|
|
|
▼
551529
|
Carechoices Hospice And Palliative Services, Llc |
20 Corporate Park Drive, Suite 300 |
Irvine |
CA |
9 (San Francisco) |
08/25/2022 |
State Agency |
YE4P11 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments |
Memo |
|
| E0016 |
Hospice Follow Up For Staff |
Standard |
|
| E0024 |
Policies/Procedures-Volunteers And Staffing |
Standard |
|
| E0032 |
Primary/Alternate Means For Communication |
Standard |
|
| L0000 |
Initial Comments |
Memo |
|
| L0524 |
Content Of Comprehensive Assessment |
Standard |
|
| L0530 |
Content Of Comprehensive Assessment |
Standard |
|
| L0543 |
Plan Of Care |
Standard |
|
| L0545 |
Content Of Plan Of Care |
Standard |
|
| L0547 |
Content Of Plan Of Care |
Standard |
|
| L0548 |
Content Of Plan Of Care |
Standard |
|
| L0552 |
Review Of The Plan Of Care |
Standard |
|
| L0554 |
Coordination Of Services |
Standard |
|
| L0557 |
Coordination Of Services |
Standard |
|
| L0580 |
Control |
Standard |
|
| L0584 |
Licensed Professional Services |
Standard |
|
| L0626 |
Hospice Aide Assignments And Duties |
Standard |
|
| L0629 |
Supervision Of Hospice Aides |
Standard |
|
| L0651 |
Governing Body And Administrator |
Standard |
|
| L0671 |
Clinical Records |
Standard |
|
| L0773 |
Hospice Plan Of Care |
Standard |
|
| L0778 |
Coordination Of Services |
Standard |
|
|
|
▼
551529
|
Carechoices Hospice And Palliative Services, Llc |
20 Corporate Park Drive, Suite 300 |
Irvine |
CA |
9 (San Francisco) |
09/22/2022 |
State Agency |
YE4P-H2 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments |
Memo |
|
| E0016 |
Hospice Follow Up For Staff |
Standard |
|
| E0024 |
Policies/Procedures-Volunteers And Staffing |
Standard |
|
| E0032 |
Primary/Alternate Means For Communication |
Standard |
|
| L0000 |
Initial Comments |
Memo |
|
| L0524 |
Content Of Comprehensive Assessment |
Standard |
|
| L0530 |
Content Of Comprehensive Assessment |
Standard |
|
| L0543 |
Plan Of Care |
Standard |
|
| L0545 |
Content Of Plan Of Care |
Standard |
|
| L0547 |
Content Of Plan Of Care |
Standard |
|
| L0548 |
Content Of Plan Of Care |
Standard |
|
| L0552 |
Review Of The Plan Of Care |
Standard |
|
| L0554 |
Coordination Of Services |
Standard |
|
| L0557 |
Coordination Of Services |
Standard |
|
| L0580 |
Control |
Standard |
|
| L0584 |
Licensed Professional Services |
Standard |
|
| L0626 |
Hospice Aide Assignments And Duties |
Standard |
|
| L0629 |
Supervision Of Hospice Aides |
Standard |
|
| L0651 |
Governing Body And Administrator |
Standard |
|
| L0671 |
Clinical Records |
Standard |
|
| L0773 |
Hospice Plan Of Care |
Standard |
|
| L0778 |
Coordination Of Services |
Standard |
|
|
|
▼
551529
|
Carechoices Hospice And Palliative Services, Llc |
20 Corporate Park Drive, Suite 300 |
Irvine |
CA |
9 (San Francisco) |
05/29/2025 |
State Agency |
66281-H1 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0000 |
Initial Comments |
Memo |
|
| E0037 |
Ep Training Program |
Standard |
|
| L0000 |
Initial Comments |
Memo |
|
| L0509 |
Exercise Of Rights/Respect For Proprty/Person |
Standard |
|
| L0523 |
Timeframe For Completion Of Assessment |
Standard |
|
| L0524 |
Content Of Comprehensive Assessment |
Standard |
|
| L0530 |
Content Of Comprehensive Assessment |
Standard |
|
| L0543 |
Plan Of Care |
Standard |
|
| L0545 |
Content Of Plan Of Care |
Standard |
|
| L0547 |
Content Of Plan Of Care |
Standard |
|
| L0548 |
Content Of Plan Of Care |
Standard |
|
| L0552 |
Review Of The Plan Of Care |
Standard |
|
| L0554 |
Coordination Of Services |
Standard |
|
| L0555 |
Coordination Of Services |
Standard |
|
| L0563 |
Program Data |
Standard |
|
| L0626 |
Hospice Aide Assignments And Duties |
Standard |
|
| L0651 |
Governing Body And Administrator |
Standard |
|
| L0672 |
Content |
Standard |
|
| L0679 |
Authentication |
Standard |
|
| L0683 |
Discharge Or Transfer Of Care |
Standard |
|
|
|
▼
551529
|
Carechoices Hospice And Palliative Services, Llc |
20 Corporate Park Drive, Suite 300 |
Irvine |
CA |
9 (San Francisco) |
07/02/2025 |
State Agency |
66281-H2 |
Recertification |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0037 |
Ep Training Program |
Standard |
|
| L0509 |
Exercise Of Rights/Respect For Proprty/Person |
Standard |
|
| L0523 |
Timeframe For Completion Of Assessment |
Standard |
|
| L0524 |
Content Of Comprehensive Assessment |
Standard |
|
| L0530 |
Content Of Comprehensive Assessment |
Standard |
|
| L0543 |
Plan Of Care |
Standard |
|
| L0545 |
Content Of Plan Of Care |
Standard |
|
| L0547 |
Content Of Plan Of Care |
Standard |
|
| L0548 |
Content Of Plan Of Care |
Standard |
|
| L0552 |
Review Of The Plan Of Care |
Standard |
|
| L0554 |
Coordination Of Services |
Standard |
|
| L0555 |
Coordination Of Services |
Standard |
|
| L0563 |
Program Data |
Standard |
|
| L0626 |
Hospice Aide Assignments And Duties |
Standard |
|
| L0651 |
Governing Body And Administrator |
Standard |
|
| L0672 |
Content |
Standard |
|
| L0679 |
Authentication |
Standard |
|
| L0683 |
Discharge Or Transfer Of Care |
Standard |
|
|
|
▼
551530
|
Evergreen Hospice Care, Inc |
17215 Studebaker Road, Suite 100 |
Cerritos |
CA |
9 (San Francisco) |
03/18/2022 |
State Agency |
N59K11 |
Complaint, Sample Validation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| L0000 |
Initial Comments |
Memo |
|
| L0577 |
Infection Control |
Condition |
|
| L0579 |
Prevention |
Standard |
|
| L0900 |
Covid-19 Vaccination Of Facility Staff |
Standard |
|
|
|
▼
551530
|
Evergreen Hospice Care, Inc |
17215 Studebaker Road, Suite 100 |
Cerritos |
CA |
9 (San Francisco) |
06/28/2022 |
State Agency |
N59K12 |
Complaint, Sample Validation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| L0000 |
Initial Comments |
Memo |
|
| L0536 |
Idg, Care Planning, Coordination Of Services |
Condition |
|
| L0543 |
Plan Of Care |
Standard |
|
| L0555 |
Coordination Of Services |
Standard |
|
| L0577 |
Infection Control |
Condition |
|
| L0579 |
Prevention |
Standard |
|
| L0900 |
Covid-19 Vaccination Of Facility Staff |
Standard |
|
|
|
▼
551530
|
Evergreen Hospice Care, Inc |
17215 Studebaker Road, Suite 100 |
Cerritos |
CA |
9 (San Francisco) |
08/25/2022 |
State Agency |
N59K13 |
Complaint, Sample Validation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| L0000 |
Initial Comments |
Memo |
|
| L0536 |
Idg, Care Planning, Coordination Of Services |
Condition |
|
| L0543 |
Plan Of Care |
Standard |
|
| L0555 |
Coordination Of Services |
Standard |
|
|
|
▼
551530
|
Evergreen Hospice Care, Inc. |
17215 Studebaker Road, Suite 100 |
Cerritos |
CA |
9 (San Francisco) |
06/30/2023 |
TJC |
447688345 |
Reaccreditation |
|
| Deficiency Tag |
Deficiency Description |
Tag Type |
|
| E0037 |
Ep Training Program |
Standard |
|
| L0523 |
Timeframe For Completion Of Assessment |
Standard |
|
| L0545 |
Content Of Plan Of Care |
Standard |
|
| L0633 |
Supervision Of Hospice Aides |
Standard |
|
| L0684 |
Discharge Or Transfer Of Care |
Standard |
|
|