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
551679 Wisteria Hospice, Inc. 4195 N. Viking Way, Ste.140 Long Beach CA 9 (San Francisco) 05/05/2022 TJC 439195665 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0529 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Condition
L0547 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0615 Competency Evaluation Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0671 Clinical Records Condition
L0674 Content Standard
L0798 Federal, State, Local Laws & Regulations Condition
551679 Wisteria Hospice, Inc. 4195 N. Viking Way, Ste.140 Long Beach CA 9 (San Francisco) 08/30/2022 TJC 443382075 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0663 Training Standard
L0674 Content Standard
551679 Wisteria Hospice, Inc. 4195 N. Viking Way, Ste.140 Long Beach CA 9 (San Francisco) 06/18/2025 TJC 454764955 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0529 Content Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0678 Content Standard
551684 Immanuel Hospice, Inc 30 East Santa Clara St Suite F Arcadia CA 9 (San Francisco) 06/10/2022 State Agency MXIL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0522 Initial Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0541 Approach To Service Delivery Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0578 Infection Control Standard
L0582 Education Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0687 Drugs Biologicals Medical Supplies & Dme Standard
551684 Immanuel Hospice, Inc 30 East Santa Clara St Suite F Arcadia CA 9 (San Francisco) 08/05/2022 State Agency MXIL12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0522 Initial Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0541 Approach To Service Delivery Standard
L0547 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0578 Infection Control Standard
L0582 Education Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0684 Discharge Or Transfer Of Care Standard
L0687 Drugs Biologicals Medical Supplies & Dme Standard
551685 Aid & Care Hospice, Inc 140 East Commonwealth Ave Fullerton CA 9 (San Francisco) 06/13/2022 State Agency J6AY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0544 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
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0562 Program Scope Standard
L0563 Program Data Standard
L0566 Program Activities Standard
L0569 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0587 Core Services Condition
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0641 Volunteers Condition
L0643 Training Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0671 Clinical Records Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0795 Criminal Background Checks Standard
551685 Aid & Care Hospice, Inc 140 East Commonwealth Ave Fullerton CA 9 (San Francisco) 08/04/2022 State Agency J6AY12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0544 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
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0562 Program Scope Standard
L0563 Program Data Standard
L0566 Program Activities Standard
L0569 Program Activities Standard
L0571 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0587 Core Services Condition
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0641 Volunteers Condition
L0643 Training Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0671 Clinical Records Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0795 Criminal Background Checks Standard
551685 Aid & Care Hospice, Inc 140 East Commonwealth Ave Fullerton CA 9 (San Francisco) 08/05/2022 State Agency J6AY13 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0544 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
L0651 Governing Body And Administrator Standard
L0671 Clinical Records Standard
551685 Aid & Care Hospice, Inc 140 East Commonwealth Ave Fullerton CA 9 (San Francisco) 09/09/2025 State Agency 1D5674-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0029 Development Of Communication Plan Standard
E0030 Names And Contact Information Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
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
L0562 Program Scope Standard
L0566 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0579 Prevention Standard
L0580 Control Standard
L0591 Nursing Services Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0641 Volunteers Condition
L0643 Training Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0672 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0694 Label Dispose Storage Drugs Standard
551686 Advantage Health Systems 9663 Tierra Grande St., Ste 204 San Diego CA 9 (San Francisco) 05/27/2022 TJC 438572465 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0574 Executive Responsibilities Standard
L0625 Hospice Aide Assignments And Duties Standard