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
▼ 751602 Reliant Hospice, Inc. 8880 Benson Ave. Ste 104 Montclair CA 9 (San Francisco) 07/19/2022 ACHC 1141977 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0025 Arrangement With Other Facilities Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Condition
L0565 Program Data Standard
L0596 Counseling Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0784 Personnel Qualification Standard
L0788 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 751602 Reliant Hospice, Inc. 8880 Benson Ave. Ste 104 Montclair CA 9 (San Francisco) 09/08/2022 ACHC 1151666 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ 751603 West Coast Healthcare, Llc 29222 Rancho Viejo Road, Suite 102 San Juan Capistrano CA 9 (San Francisco) 11/18/2022 State Agency 5E3AC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0561 Program Scope Standard
L0562 Program Scope Standard
L0566 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0580 Control Standard
L0626 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Standard
L0671 Clinical Records Standard
L0763 Written Agreement Standard
L0778 Coordination Of Services Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 751603 West Coast Healthcare, Llc 29222 Rancho Viejo Road, Suite 102 San Juan Capistrano CA 9 (San Francisco) 12/06/2022 State Agency 5E3AC-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0023 Policies/Procedures For Medical Documentation Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0561 Program Scope Standard
L0562 Program Scope Standard
L0566 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0580 Control Standard
L0626 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Standard
L0671 Clinical Records Standard
L0763 Written Agreement Standard
L0778 Coordination Of Services Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 751603 West Coast Healthcare, Llc 29222 Rancho Viejo Road, Suite 102 San Juan Capistrano CA 9 (San Francisco) 11/26/2025 State Agency 1DA67C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0591 Nursing Services Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0672 Content Standard
L0679 Authentication Standard
▼ 751605 Mother Theresa Hospice,Inc. 847 N. Hollywood Way Suite 203 B Burbank CA 9 (San Francisco) 07/13/2023 TJC 446995125 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0538 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0573 Performance Improvement Projects Standard
L0579 Prevention Standard
L0671 Clinical Records Condition
L0682 Discharge Or Transfer Of Care Standard
L0784 Personnel Qualification Condition
L0798 Federal, State, Local Laws & Regulations Condition
▼ 751605 Mother Theresa Hospice,Inc. 847 N. Hollywood Way Suite 203 B Burbank CA 9 (San Francisco) 08/25/2023 TJC 449214625 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
▼ 751605 Mother Theresa Hospice,Inc. 847 N. Hollywood Way Suite 203 B Burbank CA 9 (San Francisco) 01/26/2024 TJC 449441895 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0573 Performance Improvement Projects Standard
▼ 751609 Monarch Palliative Care, Inc. 2001 W. Beverly Blvd, Unit A Montebello CA 9 (San Francisco) 09/27/2023 TJC 447389465 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0545 Content Of Plan Of Care Condition
L0547 Content Of Plan Of Care Condition
L0596 Counseling Services Condition
L0596 Counseling Services Condition
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
▼ 751609 Monarch Palliative Care, Inc. 2001 W. Beverly Blvd, Unit A Montebello CA 9 (San Francisco) 11/07/2023 TJC 450010605 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0651 Governing Body And Administrator Standard