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
▼ 751673 Serenity Hospice Care Provider, Inc. 2139 Tapo St. Ste. 212 Simi Valley CA 9 (San Francisco) 07/25/2025 ACHC 1269435 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery 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
L0562 Program Scope Standard
L0680 Protection Of Information Standard
L0695 Label Dispose Storage Drugs Standard
▼ 751674 Best Golden Care Hospice, Inc. 11745 Edinger Avenue Fountain Valley CA 9 (San Francisco) 09/29/2023 TJC 446471705 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0500 Patients Rights Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0564 Program Data Standard
L0573 Performance Improvement Projects Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0674 Content Standard
L0678 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 751674 Best Golden Care Hospice, Inc. 11745 Edinger Avenue Fountain Valley CA 9 (San Francisco) 11/08/2023 TJC 450134465 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0679 Authentication Standard
▼ 751675 Maka Hospice, Inc. 7120 Hayvenhurst Ave., Suite 112 Van Nuys CA 9 (San Francisco) 03/17/2022 TJC 437711605 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ 751675 Maka Hospice 7120 Hayvenhurst Ave. Suite 112 Van Nuys CA 9 (San Francisco) 08/01/2025 ACHC 1271214 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0673 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0685 Retrieval Of Clinical Records Standard
L0696 Label Dispose Storage Drugs Standard
L0697 Label Dispose Storage Drugs Standard
▼ 751677 Hospice And Home Care, Inc. 980 Enchanted Way Suite 210 Simi Valley CA 9 (San Francisco) 02/10/2022 ACHC 41607 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0594 Medical Social Services Standard
L0679 Authentication Standard
▼ 751677 Hospice And Home Care, Inc. 980 Enchanted Way Suite 210 Simi Valley CA 9 (San Francisco) 10/01/2025 ACHC 1275095 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0679 Authentication Standard
▼ 751680 Angel Of God Hospice And Palliative Care, Inc. 266 Mobil Avenue, Suite 203 Camarillo CA 9 (San Francisco) 05/12/2022 TJC 437508255 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0556 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0581 Control Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0774 Hospice Plan Of Care Standard
▼ 751680 Angel Of God Hospice And Palliative Care, Inc. 266 Mobil Avenue, Suite 203 Camarillo CA 9 (San Francisco) 09/01/2022 TJC 443467875 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0560 Quality Assessment & Performance Improvement Condition
L0651 Governing Body And Administrator Condition
▼ 751680 Angel Of God Hospice And Palliative Care, Inc. 266 Mobil Avenue, Suite 203 Camarillo CA 9 (San Francisco) 05/08/2025 TJC 455718465 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
L0531 Content Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0580 Control Standard
L0619 Competency Evaluation Standard
L0620 In-Service Training Standard
L0626 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard