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
▼ 751795 Los Robles Hospice Inc 509 Marin St, Suite 233 Thousand Oaks CA 9 (San Francisco) 02/28/2025 CHAP FEB2525_SKT_8547724_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0629 Supervision Of Hospice Aides Standard
▼ 751796 Citi Care Corporation 5050 Palo Verde Street, Suite 204 Montclair CA 9 (San Francisco) 08/18/2022 TJC 440853195 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0582 Education Standard
L0620 In-Service Training Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
L0674 Content Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
▼ 751797 Family First Hospice, Inc. 15317 Paramount Blvd. Ste. 205 Paramount CA 9 (San Francisco) 11/04/2022 TJC 441039875 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0513 Rights Of The Patient Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
▼ 751798 Goldstar Hospice, Inc. 4629 Van Nuys Blvd. #G Sherman Oaks CA 9 (San Francisco) 06/22/2022 TJC 439897465 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0581 Control Standard
L0629 Supervision Of Hospice Aides Standard
L0795 Criminal Background Checks Standard
▼ 751798 Goldstar Hospice, Inc. 4629 Van Nuys Blvd. #G Sherman Oaks CA 9 (San Francisco) 06/12/2025 TJC 455027645 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0557 Coordination Of Services Standard
L0674 Content Standard
L0679 Authentication Standard
▼ 751799 Oasis Haven Hospice 2081 Business Center Dr. Ste. 218 Irvine CA 9 (San Francisco) 08/11/2022 TJC 439553805 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0533 Update Of Comprehensive Assessment Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
L0679 Authentication Standard
▼ 751799 Oasis Haven Hospice 2081 Business Center Dr. Ste. 218 Irvine CA 9 (San Francisco) 07/31/2025 TJC 458452035 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0667 Initial Certification Of Terminal Illness Standard
▼ 851500 Serenity Bay Hospice 2, Llc 2398 Lenora Church Road, Suite 103 Snellville GA 4 (Atlanta) 06/16/2022 State Agency YEZ711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0584 Licensed Professional Services Standard
L0615 Competency Evaluation Standard
▼ 851501 North Georgia Community Hospice Llc 714 South Thornton Avenue, Suite B Dalton GA 4 (Atlanta) 05/08/2024 State Agency 62FE7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0555 Coordination Of Services Standard
L0571 Performance Improvement Projects Standard
L0651 Governing Body And Administrator Standard
▼ 851502 Regency Southerncare Hospice, Llc 2100 Fiber Park Drive, Suite 1 Dalton GA 4 (Atlanta) 02/08/2024 ACHC 1211249 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard