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
551652 Mission Hospice Services Of San Diego, Llc 2365 Northside Dr., Ste. 120 San Diego CA 9 (San Francisco) 03/29/2024 CHAP MAR2524_EJS_8548270_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0693 Label Dispose Storage Drugs Standard
551652 Mission Hospice Services Of San Diego Llc 2365 Northside Drive, Suite 200 San Diego CA 9 (San Francisco) 09/18/2025 State Agency 665E9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
551652 Mission Hospice Services Of San Diego Llc 2365 Northside Drive, Suite 200 San Diego CA 9 (San Francisco) 10/30/2025 State Agency 665E9-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
551653 Ambercity Hospice, Inc 3590 Central Ave. Suite 207 Riverside CA 9 (San Francisco) 04/24/2024 TJC 449704275 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0581 Control Standard
L0582 Education Standard
L0625 Hospice Aide Assignments And Duties Condition
L0626 Hospice Aide Assignments And Duties Condition
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0670 Clinical Records Condition
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
551653 Ambercity Hospice, Inc 3590 Central Ave. Suite 207 Riverside CA 9 (San Francisco) 06/07/2024 TJC 453024495 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
551654 Green Valley Home Health Care & Hospice Inc 3009 Douglas Blvd, Suite 160 Roseville CA 9 (San Francisco) 08/25/2022 CHAP AUG2522_ISM_503059_H Follow-up
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
551654 Green Valley Home Health Care & Hospice Inc 3009 Douglas Blvd, Suite 160 Roseville CA 9 (San Francisco) 03/29/2024 CHAP MAR2624_UYR_503059_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0552 Review Of The Plan Of Care Standard
L0598 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0644 Role Standard
L0663 Training Standard
L0774 Hospice Plan Of Care Standard
551656 Prestigious Health Services Inc 3191 W. Temple Ave., Ste. 265 Pomona CA 9 (San Francisco) 10/29/2021 TJC 436115115 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0007 Ep Program Patient Population Standard
E0037 Ep Training Program Standard
L0503 Notice Of Rights And Responsibilities Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 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
L0579 Prevention Standard
L0581 Control Standard
L0581 Control Standard
L0651 Governing Body And Administrator Standard
L0674 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0774 Hospice Plan Of Care Standard
551656 Prestigious Health Services Inc. 3191 W Temple Avenue Suite 265 Pomona CA 9 (San Francisco) 10/19/2022 State Agency 5DFA3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0554 Coordination Of Services Standard
L0680 Protection Of Information Standard
L0693 Label Dispose Storage Drugs Standard
551656 Prestigious Health Services Inc. 3191 W Temple Avenue Suite 265 Pomona CA 9 (San Francisco) 12/18/2022 State Agency 5DFA3-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0554 Coordination Of Services Standard
L0680 Protection Of Information Standard
L0693 Label Dispose Storage Drugs Standard