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
▼ 751644 With Grace Ministries Inc. 4075 Evergreen Village Square, Suite 210 San Jose CA 9 (San Francisco) 06/05/2024 ACHC 1231416 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 751648 Holy Care Hospice Inc. 3200 Inland Empire Blvd Ste 245 Ontario CA 9 (San Francisco) 11/11/2021 TJC 436631955 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0668 Recertification Of The Terminal Illness Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
▼ 751648 Holy Care Hospice Inc. 3200 Inland Empire Blvd Ste 245 Ontario CA 9 (San Francisco) 11/08/2024 TJC 452874945 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0557 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 751649 Kumar Lifecare Hospice Inc. 19350 Business Center Drive, #112 Northridge CA 9 (San Francisco) 10/22/2021 TJC 437119745 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update 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
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0674 Content Standard
L0677 Content Standard
L0680 Protection Of Information Standard
L0774 Hospice Plan Of Care Standard
▼ 751649 Kumar Lifecare Hospice Inc. 19350 Business Center Drive, #112 Northridge CA 9 (San Francisco) 03/14/2022 TJC 440900205 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0633 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Standard
L0671 Clinical Records Condition
L0674 Content Standard
▼ 751649 Kumar Lifecare Hospice, Inc 19350 Business Center Dr Suite 112 Northridge CA 9 (San Francisco) 07/20/2022 State Agency P8LB11 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0647 Level Of Activity Standard
▼ 751649 Kumar Lifecare Hospice Inc. 19350 Business Center Drive, #112 Northridge CA 9 (San Francisco) 08/05/2022 TJC 442631355 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0651 Governing Body And Administrator Standard
▼ 751649 Kumar Lifecare Hospice, Inc 19350 Business Center Dr Suite 112 Northridge CA 9 (San Francisco) 08/18/2022 State Agency P8LB12 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0647 Level Of Activity Standard
▼ 751649 Kumar Lifecare Hospice Inc. 19350 Business Center Drive, #112 Northridge CA 9 (San Francisco) 10/18/2024 TJC 451404055 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
▼ 751651 Light Days Hospice, Inc. 225 E. Broadway Street, Suite 204 Glendale CA 9 (San Francisco) 12/09/2021 TJC 436509495 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0579 Prevention Standard
L0695 Label Dispose Storage Drugs Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard