S&C QCOR Hospice 2567s
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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
▼ 751656 Metro Hospice West Valley Inc 337 N. Vineyard Ave. Suite 316 Ontario CA 9 (San Francisco) 10/13/2022 State Agency MIRR-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0578 Infection Control Standard
L0643 Training Standard
L0672 Content Standard
L0680 Protection Of Information Standard
L0693 Label Dispose Storage Drugs Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 751656 Metro Hospice West Valley Inc 337 N. Vineyard Ave. Suite 316 Ontario CA 9 (San Francisco) 09/05/2025 State Agency 1D5500-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0565 Program Data Standard
L0620 In-Service Training Standard
▼ 751656 Metro Hospice West Valley Inc 337 N. Vineyard Ave. Suite 316 Ontario CA 9 (San Francisco) 09/29/2025 State Agency 1D5500-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0565 Program Data Standard
L0620 In-Service Training Standard
▼ 751657 Eternally Yours Hospice, Inc. 2550 E. Amar Rd., Suite A1-G West Covina CA 9 (San Francisco) 07/27/2023 TJC 448771395 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0548 Content Of Plan Of Care Standard
▼ 751658 Compassionate Hearts Hospice, Inc. 237 W. Bonita Avenue, Suite E San Dimas CA 9 (San Francisco) 12/09/2021 TJC 438651735 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0565 Program Data Standard
L0579 Prevention Standard
L0581 Control Standard
L0651 Governing Body And Administrator Standard
L0674 Content Standard
L0678 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0770 Written Agreement Standard
L0774 Hospice Plan Of Care Standard
▼ 751659 Golden Oaks Hospice, Inc 21021 Devonshire Street, Suite 108 Chatsworth CA 9 (San Francisco) 02/24/2022 TJC 435864355 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0671 Clinical Records Standard
▼ 751659 Golden Oaks Hospice, Inc 21021 Devonshire Street, Suite 108 Chatsworth CA 9 (San Francisco) 02/13/2025 TJC 453752985 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0678 Content Standard
▼ 751661 Victoria One Hospice, Inc. 510 East Foothill Blvd, Suite 106 San Dimas CA 9 (San Francisco) 09/09/2022 State Agency FF2G11 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0537 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0578 Infection Control Standard
L0667 Initial Certification Of Terminal Illness Standard
▼ 751661 Victoria One Hospice, Inc. 510 East Foothill Blvd, Suite 106 San Dimas CA 9 (San Francisco) 12/01/2022 State Agency FF2G-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0537 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0578 Infection Control Standard
L0667 Initial Certification Of Terminal Illness Standard
▼ 751662 Longevity Hospice, Inc. 8781 Van Nuys Boulevard Panorama City CA 9 (San Francisco) 12/16/2021 TJC 435622555 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
L0533 Update Of Comprehensive Assessment Standard
L0544 Plan Of Care 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
L0572 Performance Improvement Projects Standard
L0579 Prevention Standard
L0582 Education Standard
L0617 Competency Evaluation Standard
L0629 Supervision Of Hospice Aides Standard
L0655 Professional Management Responsibility Standard
L0655 Professional Management Responsibility Standard
L0662 Training Standard
L0663 Training Standard
L0674 Content Standard
L0697 Label Dispose Storage Drugs Standard
L0764 Written Agreement Standard
L0766 Written Agreement Standard
L0771 Written Agreement Standard