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
751556 Advantage Hospice Providers, Inc 1934 W 9th St Upland CA 9 (San Francisco) 07/22/2024 State Agency 633D5-H2 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
751557 Calcare Hospice, Inc. 9140 Haven Avenue, Suite 120 Rancho Cucamonga CA 9 (San Francisco) 10/06/2023 TJC 447032375 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
751558 A-One Hospice Providers, Inc 4110 Edison Ave, Ste 205 Chino CA 9 (San Francisco) 08/09/2024 ACHC 1238269 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
751559 Prim Hospice Care, Inc 4413 Riverside Drive, Suite E Chino CA 9 (San Francisco) 06/09/2023 TJC 446805595 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0523 Timeframe For Completion Of Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
751562 Americare Hospice 3200 W. Burbank Blvd. #101 Burbank CA 9 (San Francisco) 06/08/2023 ACHC 1176108 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0680 Protection Of Information Standard
751563 Together Hospice Care Llc 7771 University Avenue La Mesa CA 9 (San Francisco) 10/19/2023 State Agency 5E08B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0679 Authentication Standard
751563 Together Hospice Care, Llc 7771 University Ave La Mesa CA 9 (San Francisco) 09/13/2024 TJC 452065135 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0016 Hospice Follow Up For Staff Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0561 Program Scope Standard
L0574 Executive Responsibilities Standard
L0581 Control Standard
L0581 Control Standard
L0586 Licensed Professional Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
L0695 Label Dispose Storage Drugs Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0787 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
751564 Prohealth Home Care, Inc 1776 West March Lane, Suite 400b Stockton CA 9 (San Francisco) 03/23/2023 State Agency 5EA3F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0543 Plan Of Care Standard
L0670 Clinical Records Standard
751564 Prohealth Home Care, Inc 1776 West March Lane, Suite 400b Stockton CA 9 (San Francisco) 04/10/2023 State Agency 5EA3F-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0503 Notice Of Rights And Responsibilities Standard
L0543 Plan Of Care Standard
L0670 Clinical Records Standard
751565 Arbor Vitae Hospice Care, Inc. 1780 Town & Country Dr. , Unit 106 Norco CA 9 (San Francisco) 10/21/2022 CHAP OCT1922_AUC_863232_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard