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
551709 Charity Hospice Care Inc. 20300 South Vermont Avenue # 130 Torrance CA 9 (San Francisco) 09/30/2022 TJC 440520305 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
L0680 Protection Of Information Standard
L0696 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
L0769 Written Agreement Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0784 Personnel Qualification Standard
551709 Charity Hospice Care Inc. 20300 South Vermont Avenue # 130 Torrance CA 9 (San Francisco) 09/19/2025 TJC 456657035 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0678 Content Standard
551713 Rejuvenate Hospice Care, Inc. 9087 Arrow Route, Suite 284 Rancho Cucamonga CA 9 (San Francisco) 08/18/2022 TJC 441431085 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0579 Prevention Standard
L0667 Initial Certification Of Terminal Illness Standard
L0725 Safety Management Standard
551713 Rejuvenate Hospice Care, Inc. 9087 Arrow Route, Suite 284 Rancho Cucamonga CA 9 (San Francisco) 09/18/2025 TJC 458729025 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0615 Competency Evaluation Standard
L0617 Competency Evaluation Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0784 Personnel Qualification Condition
551713 Rejuvenate Hospice Care, Inc. 9087 Arrow Route, Suite 284 Rancho Cucamonga CA 9 (San Francisco) 10/31/2025 TJC 459916025 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0582 Education Standard
L0620 In-Service Training Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0685 Retrieval Of Clinical Records Condition
551715 Encore Hospice Corp. 271 W Alameda Ave Burbank CA 9 (San Francisco) 08/18/2022 TJC 440817955 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0537 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0586 Licensed Professional Services Standard
L0596 Counseling Services Standard
L0596 Counseling Services Condition
L0615 Competency Evaluation Standard
L0619 Competency Evaluation Standard
L0645 Recruiting And Retaining Standard
L0651 Governing Body And Administrator Condition
L0798 Federal, State, Local Laws & Regulations Condition
551716 Faith In Angels Hospice Inc. 120 S Victory Blvd, Ste 203 Burbank CA 9 (San Francisco) 04/20/2022 ACHC 42563 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
551717 Charter Healthcare Rancho Cucamonga, Llc 9660 Haven Ave., Suite 130 Rancho Cucamonga CA 9 (San Francisco) 08/05/2022 TJC 443862545 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0695 Label Dispose Storage Drugs Standard
551721 Ab Safe Haven Palliative & Hospice Care, Inc 2855 Temple Avenue Suite B Signal Hill CA 9 (San Francisco) 10/21/2021 State Agency A2T012 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0544 Plan Of Care Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0687 Drugs Biologicals Medical Supplies & Dme Standard
L0694 Label Dispose Storage Drugs Standard
551721 Ab Safe Haven Palliative & Hospice Care, Inc. 2855 Temple Avenue, Suite B Signal Hill CA 9 (San Francisco) 06/24/2022 TJC 438822605 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0501 Patients Rights Standard
L0515 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
L0774 Hospice Plan Of Care Standard