S&C QCOR Hospice 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 921543 Sojourn Hospice & Palliative Care - East Bay, Llc 5820 Stoneridge Mall Road Pleasanton CA 9 (San Francisco) 07/10/2024 State Agency 6334B-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0596 Counseling Services Standard
▼ 921547 Emanuel Hospice Inc 10324 Balboa Blvd Suite 203a Granada Hills CA 9 (San Francisco) 02/17/2023 State Agency 5EFFC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0554 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0572 Performance Improvement Projects Standard
L0641 Volunteers Condition
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0763 Written Agreement Standard
▼ 921547 Emanuel Hospice Inc 10324 Balboa Blvd Suite 203a Granada Hills CA 9 (San Francisco) 04/05/2023 State Agency 5EFFC-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0554 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0572 Performance Improvement Projects Standard
L0641 Volunteers Condition
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0663 Training Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0763 Written Agreement Standard
L0790 Personnel Qualification Standard
L0796 Criminal Background Checks Standard
▼ 921547 Emanuel Hospice Inc 10324 Balboa Blvd Suite 203a Granada Hills CA 9 (San Francisco) 05/24/2023 State Agency 5EFFC-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0541 Approach To Service Delivery Standard
L0790 Personnel Qualification Standard
L0796 Criminal Background Checks Standard
▼ 921549 Valley Oaks Hospice, Inc 2151 Michelson Dr #290 Irvine CA 9 (San Francisco) 06/07/2022 ACHC 43062 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0522 Initial Assessment Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0697 Label Dispose Storage Drugs Standard
▼ 921549 Valley Oaks Hospice, Inc 2151 Michelson Dr #290 Irvine CA 9 (San Francisco) 06/18/2025 ACHC 1268492 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 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
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 921550 Matrix Hospice, Inc 17141 Ventura Blvd., Suite 205 Encino CA 9 (San Francisco) 10/02/2025 TJC 455860905 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0543 Plan Of Care Standard
▼ 921551 Metro Medical Services, Inc. 9504 Topanga Canyon Blvd., Ste. A Chatsworth CA 9 (San Francisco) 03/16/2023 TJC 444871655 Initial
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0650 Serving The Hospice Patient And Family Standard
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Condition
L0678 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ 921551 Metro Medical Services, Inc. 9504 Topanga Canyon Blvd., Ste. A Chatsworth CA 9 (San Francisco) 04/26/2023 TJC 447424715 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0667 Initial Certification Of Terminal Illness Standard
▼ 921552 Md Preferred Hospice, Inc. 12631 Imperial Highway, Suite E-127 Santa Fe Springs CA 9 (San Francisco) 10/20/2022 TJC 440841865 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard