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. 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
▼ 551644 Graceful Palms Hospice And Palliative Care Corporation 38700 5th St W Ste G Palmdale CA 9 (San Francisco) 12/23/2021 State Agency J5UL11 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0554 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0644 Role Standard
L0671 Clinical Records Standard
L0687 Drugs Biologicals Medical Supplies & Dme Standard
▼ 551644 Graceful Palms Hospice And Palliative Care Corporation 38700 5th St W Ste G Palmdale CA 9 (San Francisco) 01/24/2022 State Agency J5UL12 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0554 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0644 Role Standard
L0671 Clinical Records Standard
L0687 Drugs Biologicals Medical Supplies & Dme Standard
▼ 551644 Graceful Palms Hospice And Palliative Care Corporation 38700 5th St W Ste G Palmdale CA 9 (San Francisco) 07/21/2022 State Agency I42N11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0538 Idg, Care Planning, Coordination Of Services Standard
▼ 551644 Graceful Palms Hospice And Palliative Care Corporation 38700 5th St W Ste G Palmdale CA 9 (San Francisco) 08/29/2022 State Agency I42N12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0538 Idg, Care Planning, Coordination Of Services Standard
▼ 551644 Graceful Palms Hospice And Palliative Care Corp. 38700 5th St. W., Ste. G Palmdale CA 9 (San Francisco) 11/15/2024 ACHC 1250416 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
▼ 551645 Royz, Inc. 2700 E. Foothill Blvd., Suite 200 Pasadena CA 9 (San Francisco) 07/08/2022 TJC 439725135 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
▼ 551645 Royz, Inc. 2700 E. Foothill Blvd., Suite 200 Pasadena CA 9 (San Francisco) 12/08/2023 TJC 447550585 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0532 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0645 Recruiting And Retaining Standard
L0674 Content Standard
▼ 551648 Liberty Hospice, Inc. 1111 N. Brand Boulevard, Suite 314 Glendale CA 9 (San Francisco) 12/16/2021 TJC 435620735 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0579 Prevention Standard
L0674 Content Standard
▼ 551648 Liberty Hospice, Inc. 1111 N. Brand Blvd., Suite 314 Glendale CA 9 (San Francisco) 10/09/2024 ACHC 1246413 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
▼ 551649 Vega Healthcare, Inc 4510 E. Pacific Coast Highway, Suite 320 Long Beach CA 9 (San Francisco) 12/09/2022 State Agency 5E729-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0501 Patients' Rights Standard
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0648 Organizational Environment Condition
L0661 Training Standard
L0663 Training Standard
L0671 Clinical Records Standard