S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

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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
▼ 921770 Affinity Hospice, Llc 5767 Uplander Way, Suite 208 Culver City CA 9 (San Francisco) 03/31/2022 TJC 435733185 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0795 Criminal Background Checks Standard
▼ 921770 Affinity Hospice Llc 5767 Uplander Way, Suite 208 Culver City CA 9 (San Francisco) 07/24/2024 State Agency 63A32-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0526 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
L0787 Personnel Qualification Standard
▼ 921770 Affinity Hospice Llc 5767 Uplander Way, Suite 208 Culver City CA 9 (San Francisco) 11/15/2024 State Agency 63A32-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0526 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
L0787 Personnel Qualification Standard
▼ 921772 St. Peter's Hospice Care, Inc. 16501 Sherman Way, Suite 215 Van Nuys CA 9 (San Francisco) 06/20/2024 TJC 451583765 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0581 Control Standard
L0626 Hospice Aide Assignments And Duties Standard
L0663 Training Standard
L0678 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0771 Written Agreement Standard
L0772 Written Agreement Standard
L0795 Criminal Background Checks Standard
▼ 921773 Spero Hospice Services Inc 18341 Sherman Way, Suite #203a Reseda CA 9 (San Francisco) 08/15/2024 CHAP AUG1324_CFE_8547089_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0004 Develop Ep Plan, Review And Update Annually Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0007 Ep Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0530 Content Of Comprehensive Assessment Standard
L0626 Hospice Aide Assignments And Duties Standard
L0643 Training Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0662 Training Standard
L0663 Training Standard
L0676 Content Standard
L0695 Label Dispose Storage Drugs Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 921773 Spero Hospice Services Inc 18341 Sherman Way, Suite #203a Reseda CA 9 (San Francisco) 09/25/2024 CHAP SEP2424_MWF_8547089_ Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0676 Content Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 921774 Alliance Home Health & Hospice Llc 6717 Mission St, Suite D-1 And D-2 Daly City CA 9 (San Francisco) 07/11/2024 ACHC 1236393 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0673 Content Standard
▼ 921776 Continuum Care Northbay, Llc 5401 Old Redwood Hwy, Suite 110 Petaluma CA 9 (San Francisco) 08/31/2023 State Agency 60DB2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0693 Label Dispose Storage Drugs Standard
▼ 921776 Continuum Care Northbay, Llc 5401 Old Redwood Hwy, Suite 110 Petaluma CA 9 (San Francisco) 09/27/2023 State Agency 60DB2-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0693 Label Dispose Storage Drugs Standard
▼ 921777 Epione Hospice, Inc. 21151 S. Western Ave. Suite 273 Torrance CA 9 (San Francisco) 02/23/2023 TJC 446658995 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0529 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
L0538 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0620 In-Service Training Standard
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard