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
▼ 751542 Ampl Management, Inc. 2855 Temple Avenue, Suite H. Signal Hill CA 9 (San Francisco) 07/06/2023 TJC 448166665 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 751542 Ampl Management, Inc. 2855 Temple Avenue, Suite H. Signal Hill CA 9 (San Francisco) 10/27/2023 TJC 448166725 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0552 Review Of The Plan Of Care Standard
▼ 751543 Grace Hospice And Palliative Care 6101 Bollinger Canyon Road #390 San Ramon CA 9 (San Francisco) 08/23/2022 TJC 440186565 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0633 Supervision Of Hospice Aides Standard
▼ 751543 Grace Hospice And Palliative Care 6101 Bollinger Canyon Road #390 San Ramon CA 9 (San Francisco) 05/18/2023 TJC 447782475 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0039 Ep Testing Requirements Standard
L0503 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0560 Quality Assessment & Performance Improvement Condition
L0565 Program Data Standard
L0578 Infection Control Condition
L0579 Prevention Standard
L0581 Control Standard
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Standard
L0696 Label Dispose Storage Drugs Standard
▼ 751543 Grace Hospice And Palliative Care 6101 Bollinger Canyon Road #390 San Ramon CA 9 (San Francisco) 07/06/2023 TJC 448482105 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
▼ 751545 Steward Hospice Care Inc 16446 Woodruff Ave., Suite C Bellflower CA 9 (San Francisco) 07/13/2023 TJC 448262775 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0696 Label Dispose Storage Drugs Standard
▼ 751546 Nivera Enterprises Inc 1152 E Route 66 Glendora CA 9 (San Francisco) 09/22/2022 ACHC 44286 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
▼ 751546 Nivera Enterprises, Inc. 1152 E Route 66 Glendora CA 9 (San Francisco) 10/14/2022 State Agency 5DE5C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0539 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0687 Drugs Biologicals Medical Supplies & Dme Standard
▼ 751546 Nivera Enterprises, Inc. 1152 E Route 66 Glendora CA 9 (San Francisco) 12/12/2022 State Agency 5DE5C-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0539 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0687 Drugs Biologicals Medical Supplies & Dme Standard
▼ 751546 Nivera Enterprises, Inc. 1152 E Route 66 Glendora CA 9 (San Francisco) 02/07/2023 State Agency 5DE5C-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0530 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0780 Coordination Of Services Standard