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
▼ 751707 Bva Hospice Care Inc 315 Arden Ave, Ste 25 Glendale CA 9 (San Francisco) 05/12/2022 CHAP MAY1022_YSI_8547861_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0582 Education Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Resposibility Standard
L0678 Content Standard
▼ 751707 Bva Hospice Care Inc 315 Arden Ave, Ste 25 Glendale CA 9 (San Francisco) 06/21/2022 CHAP JUN2022_WZO_8547861_ Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0672 Content Standard
▼ 751709 The Ambient Hospice, Inc. 6350 Laurel Canyon Blvd., Suite 330 North Hollywood CA 9 (San Francisco) 06/30/2022 TJC 438704285 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0030 Names And Contact Information Standard
L0503 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0671 Clinical Records Condition
L0674 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0695 Label Dispose Storage Drugs Standard
L0795 Criminal Background Checks Standard
L0798 Federal, State, Local Laws & Regulations Condition
▼ 751709 The Ambient Hospice, Inc. 6350 Laurel Canyon Blvd., Suite 330 North Hollywood CA 9 (San Francisco) 09/16/2022 TJC 444284235 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment 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
L0549 Content Of Plan Of Care Standard
L0674 Content Standard
▼ 751709 The Ambient Hospice, Inc. 6350 Laurel Canyon Blvd., Suite 330 North Hollywood CA 9 (San Francisco) 11/08/2022 TJC 444284275 Follow-Up
Deficiency Tag Deficiency Description Tag Type
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
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
▼ 751709 The Ambient Hospice Inc 6350 Laurel Canyon Blvd Suite 330 North Hollywood CA 9 (San Francisco) 05/11/2023 ACHC 1173590 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0679 Authentication Standard
▼ 751710 Orion Hospice Care Services, Inc 12135 1/2 Riverside Drive Valley Village CA 9 (San Francisco) 09/09/2022 State Agency M3HG11 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of Assessment 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
L0537 Idg, Care Planning, Coordination Of Services Standard
L0541 Approach To Service Delivery Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0574 Executive Responsibilities Standard
L0596 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0656 Hospice Multiple Locations Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0769 Written Agreement Standard
▼ 751710 Orion Hospice Care Services, Inc 12135 1/2 Riverside Drive Valley Village CA 9 (San Francisco) 10/19/2022 State Agency M3HG-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of Assessment 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
L0537 Idg, Care Planning, Coordination Of Services Standard
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0574 Executive Responsibilities Standard
L0596 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0656 Hospice Multiple Locations Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0769 Written Agreement Standard
▼ 751710 Orion Hospice Care Services, Inc 12135 1/2 Riverside Drive Valley Village CA 9 (San Francisco) 01/09/2023 State Agency M3HG-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0515 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of 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
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0560 Quality Assessment & Performance Improvement Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0769 Written Agreement Standard
▼ 751711 St. Arsenius Hospice Care, Inc 424 N. Lake Ave Suite 204 Pasadena CA 9 (San Francisco) 05/05/2022 TJC 438216775 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0615 Competency Evaluation Standard
L0645 Recruiting And Retaining Standard
L0685 Retrieval Of Clinical Records Standard
L0696 Label Dispose Storage Drugs Standard
L0784 Personnel Qualification Standard