S&C QCOR Hospice 2567s
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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 June 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
▼ 921677 Heavenly Hospice Care, Inc. 514 Commerce Avenue, Suite G Palmdale CA 9 (San Francisco) 05/03/2023 ACHC 1173592 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
▼ 921682 Wellspring Hospice 19730 Ventura Blvd , Suite 25 Woodland Hills CA 9 (San Francisco) 05/04/2023 CHAP MAY0223_EDK_883312_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
▼ 921685 Majestic Hospice & Home Health Llc 16360 Monterey Street, Suite 140 Morgan Hill CA 9 (San Francisco) 12/18/2025 State Agency 1DFB54-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0504 Notice Of Rights And Responsibilities Standard
L0552 Review Of The Plan Of Care Standard
L0594 Medical Social Services Standard
L0629 Supervision Of Hospice Aides Standard
▼ 921686 Nurses Care Hospice, Inc. 909 S. Cucamonga Avenue, Suite 115b Ontario CA 9 (San Francisco) 04/14/2022 TJC 442769045 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0663 Training Standard
L0678 Content Standard
L0695 Label Dispose Storage Drugs Standard
▼ 921686 Nurses Care Hospice, Inc. 909 S. Cucamonga Avenue, Suite 115b Ontario CA 9 (San Francisco) 04/10/2025 TJC 454862965 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
L0586 Licensed Professional Services Standard
▼ 921687 Elka Hospice Care 11755 Victory Blvd. Suite 213 North Hollywood CA 9 (San Francisco) 08/24/2023 ACHC 1185179 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0673 Content Standard
▼ 921689 A-1 Hospice Care Center 4 U, Inc. 6345 Balboa Blvd, Suite 168 Encino CA 9 (San Francisco) 06/14/2023 ACHC 1176128 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0522 Initial Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0673 Content Standard
L0679 Authentication Standard
▼ 921690 Azi Hospice Inc 7200 Vineland Ave Suite 220 Sun Valley CA 9 (San Francisco) 09/12/2022 State Agency 5F292-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0573 Performance Improvement Projects Standard
L0643 Training Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 921691 Longevity Hospice Care Services, Inc. 229 N. Central Avenue, Suite 607 Glendale CA 9 (San Francisco) 06/08/2023 TJC 446782185 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Condition
L0535 Patient Outcome Measures Condition
L0547 Content Of Plan Of Care Condition
L0555 Coordination Of Services Condition
L0651 Governing Body And Administrator Condition
▼ 921691 Longevity Hospice Care Services, Inc. 229 N. Central Avenue, Suite 607 Glendale CA 9 (San Francisco) 07/20/2023 TJC 448661425 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard