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
▼ 921557 Westlake Village Hospice, Inc. 4165 E. Thousand Oaks Blvd. Suite 325d Westlake Village CA 9 (San Francisco) 12/11/2025 TJC 457724135 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0042 Integrated Ep Program Standard
L0531 Content Of Comprehensive Assessment Standard
L0532 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
L0564 Program Data Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ 921558 Universal Health Net 500 N State College Blvd Suite 1100 Orange CA 9 (San Francisco) 09/09/2022 TJC 440613975 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0015 Subsistence Needs For Staff And Patients Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0515 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Condition
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0574 Executive Responsibilities Standard
L0579 Prevention Standard
L0598 Counseling Services Standard
L0615 Competency Evaluation Standard
L0617 Competency Evaluation Standard
L0620 In-Service Training Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0674 Content Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0695 Label Dispose Storage Drugs Standard
L0784 Personnel Qualification Condition
L0798 Federal, State, Local Laws & Regulations Standard
▼ 921558 Universal Health Net 500 N State College Blvd Suite 1100 Orange CA 9 (San Francisco) 11/15/2022 TJC 445028335 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ 921558 Universal Health Net 500 N State College Blvd Suite 1100 Orange CA 9 (San Francisco) 02/23/2023 TJC 445028375 Follow-Up
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ 921558 Universal Health Net 500 N State College Blvd Orange CA 9 (San Francisco) 11/30/2023 State Agency 617DE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0528 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
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0562 Program Scope Standard
L0563 Program Data Standard
L0569 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0580 Control Standard
L0596 Counseling Services Standard
L0643 Training Standard
L0644 Role Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0668 Recertification Of The Terminal Illness Standard
L0672 Content Standard
L0678 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0762 Professional Management Standard
▼ 921558 Universal Health Net 500 N State College Blvd Orange CA 9 (San Francisco) 01/18/2024 State Agency 617DE-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0030 Names And Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods For Sharing Information Standard
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0509 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0528 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
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0562 Program Scope Standard
L0563 Program Data Standard
L0569 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0580 Control Standard
L0596 Counseling Services Standard
L0643 Training Standard
L0644 Role Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0668 Recertification Of The Terminal Illness Standard
L0672 Content Standard
L0678 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0762 Professional Management Standard
▼ 921558 Universal Health Net 500 N State College Blvd Orange CA 9 (San Francisco) 02/02/2024 State Agency 617DE-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0651 Governing Body And Administrator Standard
L0663 Training Standard
▼ 921560 Compassionate Care Hospice Llc 17220 Newhope St. Ste 124 Fountain Valley CA 9 (San Francisco) 10/27/2022 ACHC 1156638 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0500 Patients Rights Condition
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0507 Exercise Of Rights/Respect For Proprty/Person Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery 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
L0579 Prevention Standard
L0615 Competency Evaluation Standard
L0673 Content Standard
L0684 Discharge Or Transfer Of Care Standard
L0697 Label Dispose Storage Drugs Standard
L0773 Hospice Plan Of Care Standard
▼ 921560 Compassionate Care Hospice Llc 17220 Newhope St. Ste 124 Fountain Valley CA 9 (San Francisco) 01/11/2023 ACHC 1161064 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ 921560 Compassionate Care Hospice, Llc. 17220 Newhope St Suite 124 Fountain Valley CA 9 (San Francisco) 12/01/2025 State Agency 1DB0CF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0672 Content Standard
L0673 Content Standard