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
▼ 921671 Anc Corporation 7484 University Ave, Suite 250 La Mesa CA 9 (San Francisco) 05/07/2024 TJC 452711265 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0564 Program Data Standard
L0565 Program Data Standard
L0581 Control Standard
L0581 Control Standard
L0582 Education Standard
L0596 Counseling Services Standard
L0596 Counseling Services Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
▼ 921672 Serendipite Healthcare Group 12377 Lewis St. Suite 103 Garden Grove CA 9 (San Francisco) 10/26/2023 TJC 446011645 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0596 Counseling Services Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ 921674 Instant Care Hospice, Inc. 6850 Sepulveda Blvd., 215 Van Nuys CA 9 (San Francisco) 08/24/2023 TJC 446781335 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Condition
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Condition
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0581 Control Standard
L0581 Control Standard
L0651 Governing Body And Administrator Condition
L0674 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0784 Personnel Qualification Condition
L0798 Federal, State, Local Laws & Regulations Condition
▼ 921674 Instant Care Hospice, Inc. 6850 Sepulveda Blvd., 215 Van Nuys CA 9 (San Francisco) 10/05/2023 TJC 449764155 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
▼ 921674 Instant Care Hospice, Inc. 6850 Sepulveda Blvd., 215 Van Nuys CA 9 (San Francisco) 03/21/2024 TJC 449764215 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0682 Discharge Or Transfer Of Care Standard
▼ 921676 One Stop Hospice, Inc. 2204 E. 4th St. Suite 100 Santa Ana CA 9 (San Francisco) 11/02/2023 TJC 447507485 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0682 Discharge Or Transfer Of Care Standard
L0685 Retrieval Of Clinical Records Standard
▼ 921677 Heavenly Hospice Care, Inc. 514 Commerce Avenue, Suite G Palmdale CA 9 (San Francisco) 05/03/2023 ACHC 1173592 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
▼ 921682 Wellspring Hospice 19730 Ventura Blvd , Suite 25 Woodland Hills CA 9 (San Francisco) 05/04/2023 CHAP MAY0223_EDK_883312_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
▼ 921685 Majestic Hospice & Home Health Llc 16360 Monterey Street, Suite 140 Morgan Hill CA 9 (San Francisco) 12/18/2025 State Agency 1DFB54-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0504 Notice Of Rights And Responsibilities Standard
L0552 Review Of The Plan Of Care Standard
L0594 Medical Social Services Standard
L0629 Supervision Of Hospice Aides Standard
▼ 921686 Nurses Care Hospice, Inc. 909 S. Cucamonga Avenue, Suite 115b Ontario CA 9 (San Francisco) 04/14/2022 TJC 442769045 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0663 Training Standard
L0678 Content Standard
L0695 Label Dispose Storage Drugs Standard