S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
551562 Odyssey Healthcare Operating A, Lp 5000 Hopyard Road, Suite 301 Pleasanton CA 9 (San Francisco) 06/03/2024 ACHC 1231447 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
551570 Serenity Hospice, Llc 777 E. Tahquitz Canyon Way, Suite 301-308 Palm Springs CA 9 (San Francisco) 06/06/2024 CHAP JUN0324_HMW_501651_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0676 Content Standard
551573 Faith & Hope Hospice Care, Inc. 1575 N. Lake Avenue, Suite 208 Pasadena CA 9 (San Francisco) 07/01/2022 TJC 437197915 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
551573 Faith & Hope Hospice Care, Inc. 1575 N. Lake Avenue, Suite 208 Pasadena CA 9 (San Francisco) 08/22/2025 TJC 454862145 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0596 Counseling Services Standard
L0598 Counseling Services Standard
L0650 Serving The Hospice Patient And Family Standard
551574 Sebastian Hospice Care, Inc. 1720 East Los Angeles Avenue, Suite 218 Simi Valley CA 9 (San Francisco) 05/26/2022 TJC 437324445 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0541 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0560 Quality Assessment & Performance Improvement Condition
L0581 Control Standard
L0598 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0671 Clinical Records Condition
L0682 Discharge Or Transfer Of Care Standard
L0763 Written Agreement Standard
551574 Sebastian Hospice Care, Inc. 1720 East Los Angeles Avenue, Suite 218 Simi Valley CA 9 (San Francisco) 08/29/2022 TJC 443690255 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0651 Governing Body And Administrator Standard
L0674 Content Standard
551574 Sebastian Hospice Care, Inc. 1720 East Los Angeles Avenue, Suite 218 Simi Valley CA 9 (San Francisco) 10/04/2022 TJC 444799615 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0651 Governing Body And Administrator Condition
551574 Sebastian Hospice Care Inc 1720 East Los Angeles Avenue, Suite #218 Simi Valley CA 9 (San Francisco) 03/07/2025 State Agency 64970-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0670 Clinical Records Condition
L0797 Federal, State, Local Laws & Regulations Condition
551574 Sebastian Hospice Care Inc. 1720 East Los Angeles Ave, Suite 218 Simi Valley CA 9 (San Francisco) 04/10/2025 CHAP APR0825_RJE_8549882_ Initial with CCN
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
E0013 Development Of Ep Policies And Procedures Standard
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0562 Program Scope Standard
L0563 Program Data Standard
L0566 Program Activities Standard
L0569 Program Activities Standard
L0574 Executive Responsibilities Standard
L0579 Prevention Standard
L0580 Control Standard
L0582 Education Standard
L0591 Nursing Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0632 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0673 Content Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0783 Personnel Qualification Condition
L0793 Personnel Qualification Standard
L0796 Criminal Background Checks Standard
551574 Sebastian Hospice Care Inc 1720 East Los Angeles Avenue, Suite #218 Simi Valley CA 9 (San Francisco) 04/22/2025 State Agency 64970-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0670 Clinical Records Condition
L0797 Federal, State, Local Laws & Regulations Condition