S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

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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
▼ 551617 Atlantic Care Hospice 12444 Victory Blvd, Ste 303 North Hollywood CA 9 (San Francisco) 10/18/2024 ACHC 1249084 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0715 Inpatient Care Provided Under Arrangements Standard
▼ 551618 South Valley Hospice Services, Inc. 30851 Agoura Road, Suite 105 Agoura Hills CA 9 (San Francisco) 03/07/2024 TJC 450205755 Reaccreditation
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
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
L0502 Notice Of Rights And Responsibilities Standard
L0533 Update Of Comprehensive Assessment Standard
L0558 Coordination Of Services Standard
L0579 Prevention Standard
L0581 Control Standard
L0581 Control Standard
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0833 N/A Standard
▼ 551619 Pleasant Day Hospice, Inc. 6737 Sepulveda Blvd. Van Nuys CA 9 (San Francisco) 08/26/2022 State Agency 64WB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0036 Ep Training And Testing Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0560 Quality Assessment & Performance Improvement Standard
L0578 Infection Control Standard
L0642 Volunteers Standard
L0651 Governing Body And Administrator Standard
L0784 Personnel Qualification Standard
L0787 Personnel Qualification Standard
▼ 551619 Pleasant Day Hospice, Inc. 6737 Sepulveda Blvd. Van Nuys CA 9 (San Francisco) 10/03/2022 State Agency 64WB-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0036 Ep Training And Testing Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0560 Quality Assessment & Performance Improvement Standard
L0578 Infection Control Standard
L0642 Volunteers Standard
L0651 Governing Body And Administrator Standard
L0784 Personnel Qualification Standard
L0787 Personnel Qualification Standard
▼ 551620 Peaceful Heart Healthcare Llc 391 N Main St Suite 303 Corona CA 9 (San Francisco) 11/10/2022 ACHC 44958 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0009 Local, State, Tribal Collaboration Process Standard
E0029 Development Of Communication Plan Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0695 Label Dispose Storage Drugs Standard
L0696 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
▼ 551621 Seasons Hospice & Palliative Care Of Ca-San Bernardino Llc 3110 E Guasti Rd, Suite 315 Ontario CA 9 (San Francisco) 09/20/2024 TJC 452174685 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0513 Rights Of The Patient Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0663 Training Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ 551622 High Desert Hospice Services, Inc. 12998 Hesperia Rd., Ste 202 Victorville CA 9 (San Francisco) 06/06/2024 TJC 451155595 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0674 Content Standard
▼ 551623 Sonata Healthcare, Llc 5333 Mission Center Road, Suite 210 San Diego CA 9 (San Francisco) 04/11/2024 TJC 449830985 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0591 Nursing Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0632 Supervision Of Hospice Aides Condition
L0650 Serving The Hospice Patient And Family Standard
L0651 Governing Body And Administrator Condition
L0668 Recertification Of The Terminal Illness Standard
L0674 Content Standard
▼ 551627 Ultimate Great Care Hospice, Inc. 1174 Amazon Way, #B Simi Valley CA 9 (San Francisco) 08/17/2023 TJC 447724115 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0674 Content Standard
▼ 551628 Personal Care Hospice Services, Inc. 2318 W. Burbank Blvd. Burbank CA 9 (San Francisco) 06/14/2024 ACHC 1232868 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard