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. 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
▼ 751523 I Care Hospice & Palliative Providers, Inc. 3633 Inland Empire Boulevard Ontario CA 9 (San Francisco) 03/10/2023 State Agency 5EC57-H2 Complaint
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
L0524 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0554 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0573 Performance Improvement Projects Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Standard
L0679 Authentication Standard
▼ 751523 I Care Hospice & Palliative Providers, Inc. 3633 Inland Empire Boulevard Ontario CA 9 (San Francisco) 03/10/2023 State Agency 5F454-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
▼ 751523 I Care Hospice & Palliative Providers, Inc. 3633 Inland Empire Boulevard Ontario CA 9 (San Francisco) 04/10/2023 State Agency 5F454-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
▼ 751523 I Care Hospice & Palliative Providers, Inc. 3633 Inland Empire Boulevard Ontario CA 9 (San Francisco) 05/24/2024 State Agency 6323D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0530 Content Of Comprehensive Assessment Standard
L0571 Performance Improvement Projects Standard
▼ 751523 I Care Hospice & Palliative Providers, Inc. 3633 Inland Empire Boulevard Ontario CA 9 (San Francisco) 06/21/2024 State Agency 6323D-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0530 Content Of Comprehensive Assessment Standard
L0571 Performance Improvement Projects Standard
▼ 751523 I Care Hospice & Palliative Providers, Inc. 3633 Inland Empire Boulevard Ontario CA 9 (San Francisco) 05/08/2025 State Agency 660F7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
▼ 751524 Santa Yekaterina Hospice, Inc. 5958 Vineland Avenue Suite J N Hollywood CA 9 (San Francisco) 09/12/2022 State Agency 9BT811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0036 Ep Training And Testing Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0541 Approach To Service Delivery Standard
L0574 Executive Responsibilities Standard
L0578 Infection Control Standard
L0644 Role Standard
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0669 Medical Director Responsibility Standard
L0672 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0734 Sanitary Environment Standard
▼ 751524 Santa Yekaterina Hospice, Inc. 5958 Vineland Avenue Suite J N Hollywood CA 9 (San Francisco) 10/19/2022 State Agency 9BT8-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0036 Ep Training And Testing Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0541 Approach To Service Delivery Standard
L0549 Content Of Plan Of Care Standard
L0574 Executive Responsibilities Standard
L0578 Infection Control Standard
L0644 Role Standard
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0669 Medical Director Responsibility Standard
L0672 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0734 Sanitary Environment Standard
▼ 751525 Accurate Hospice Inc. 3925 Rosemead Blvd., Suite 201 Rosemead CA 9 (San Francisco) 03/08/2023 TJC 440186585 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0579 Prevention Standard
▼ 751525 Accurate Hospice Inc. 3925 Rosemead Blvd., Suite 201 Rosemead CA 9 (San Francisco) 10/05/2023 TJC 447066475 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0535 Patient Outcome Measures Standard
L0548 Content Of Plan Of Care Standard
L0551 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0598 Counseling Services Standard
L0645 Recruiting And Retaining Standard
L0663 Training Standard