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
751546 Nivera Enterprises, Inc. 1152 E Route 66 Glendora CA 9 (San Francisco) 02/28/2023 State Agency 5DE5C-H4 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0780 Coordination Of Services Standard
751546 Nivera Enterprises Inc 1152 E Route 66 Glendora CA 9 (San Francisco) 09/18/2025 ACHC 1275061 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
751546 Nivera Enterprises, Inc. 1152 E Route 66 Glendora CA 9 (San Francisco) 10/10/2025 State Agency 1D87E7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0513 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0525 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
751546 Nivera Enterprises, Inc. 1152 E Route 66 Glendora CA 9 (San Francisco) 12/19/2025 State Agency 1D87E7-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0513 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0525 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
751550 Infinite Hospice Care, Inc. 16200 Ventura Blvd., Suite 211 Encino CA 9 (San Francisco) 03/16/2023 TJC 444067515 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Condition
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Condition
L0633 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0671 Clinical Records Condition
L0678 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0773 Hospice Plan Of Care Standard
751550 Infinite Hospice Care, Inc. 16200 Ventura Blvd., Suite 211 Encino CA 9 (San Francisco) 04/25/2023 TJC 447464325 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
751551 Los Feliz Hospice Healthcare 790 Beaumont Ave Ste 122 Beaumont CA 9 (San Francisco) 09/20/2023 ACHC 1188275 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
751552 Gibraltar Hospice, Inc. 22141 Ventura Boulevard, Suite 301 Woodland Hills CA 9 (San Francisco) 06/02/2023 TJC 447977125 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Condition
L0561 Program Scope Standard
L0580 Control Standard
L0581 Control Standard
L0625 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0671 Clinical Records Condition
751552 Gibraltar Hospice, Inc. 22141 Ventura Boulevard, Suite 301 Woodland Hills CA 9 (San Francisco) 07/19/2023 TJC 448665095 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
751556 Advantage Hospice Providers, Inc 1934 W 9th St Upland CA 9 (San Francisco) 06/21/2024 State Agency 633D5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0029 Development Of Communication Plan Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard