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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 551760 Bright Sky Hospice Care, Inc. 502 Cajon Street, Suite A Redlands CA 9 (San Francisco) 10/29/2025 1280137 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0715 Inpatient Care Provided Under Arrangements Standard
L0771 Written Agreement Standard
▼ 551766 Avon Hospice Care, Inc. 9007 Arrow Route, Suite 180 Rancho Cucamonga CA 9 (San Francisco) 03/23/2023 443513805 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0596 Counseling Services Standard
▼ 551770 American Hospice, Inc. 120 South Victory Blvd, Ste. 205 Burbank CA 9 (San Francisco) 10/27/2022 441762435 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0523 Timeframe For Completion Of Assessment Standard
L0555 Coordination Of Services Standard
L0575 Executive Responsibilities Standard
L0596 Counseling Services Standard
L0646 Cost Saving Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0678 Content Standard
L0680 Protection Of Information Standard
▼ 551770 American Hospice, Inc. 120 South Victory Blvd, Ste. 205 Burbank CA 9 (San Francisco) 10/23/2025 457988415 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0535 Patient Outcome Measures Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0651 Governing Body And Administrator Condition
L0674 Content Standard
L0784 Personnel Qualification Condition
L0797 Federal, State, Local Laws & Regulations Condition
▼ 551770 American Hospice Inc 120 S Victory Blvd, Suite 205 Burbank CA 9 (San Francisco) 12/11/2025 DEC0925_USK_8552139_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 551771 A Miracle Hospice, Inc. 14402 Haynes Street, Ste 205 Van Nuys CA 9 (San Francisco) 08/24/2022 442320915 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 551771 A Miracle Hospice, Inc. 14402 Haynes Street Suite 205 Van Nuys CA 9 (San Francisco) 12/30/2022 5E9C4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0537 Idg, Care Planning, Coordination Of Services Standard
L0578 Infection Control Standard
L0595 Counseling Services Standard
L0649 Organization And Administration Of Services Standard
L0651 Governing Body And Administrator Standard
L0669 Medical Director Responsibility Standard
▼ 551771 A Miracle Hospice, Inc. 14402 Haynes Street Suite 205 Van Nuys CA 9 (San Francisco) 02/21/2023 5E9C4-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0577 Infection Control Condition
L0595 Counseling Services Standard
L0648 Organization And Administration Of Services Standard
L0651 Governing Body And Administrator Standard
L0669 Medical Director Responsibility Standard
▼ 551771 A Miracle Hospice, Inc. 14402 Haynes Street Suite 205 Van Nuys CA 9 (San Francisco) 05/19/2023 5FD1C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 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
L0541 Approach To Service Delivery Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0596 Counseling Services Standard
L0600 Nursing Services - Waiver Of Req Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 551771 A Miracle Hospice, Inc. 14402 Haynes Street Suite 205 Van Nuys CA 9 (San Francisco) 07/07/2023 5FD1C-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 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
L0541 Approach To Service Delivery Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0596 Counseling Services Standard
L0600 Nursing Services - Waiver Of Req Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0683 Discharge Or Transfer Of Care Standard