S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
051761 Sutter Visiting Nurse Association And Hospice 110 Stony Point Road, Suite 200c Santa Rosa CA 9 (San Francisco) 12/13/2024 DEC0924_GVQ_868313_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
051762 Passage Enterprises Incorporated 115 E Foothill Blvd. Ste 102 Glendora CA 9 (San Francisco) 04/07/2022 438483425 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0503 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of Assessment Standard
L0543 Plan Of Care Standard
L0573 Performance Improvement Projects Standard
L0663 Training Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
051762 Passage Enterprises Incorporated 115 E Foothill Blvd. Ste 102 Glendora CA 9 (San Francisco) 03/20/2025 454833225 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0661 Training Standard
L0663 Training Standard
L0674 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
051763 Lightbridge Hospice, Llc 6155 Cornerstone Ct. East, Ste. 220 San Diego CA 9 (San Francisco) 06/10/2022 438291715 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0663 Training Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
051763 Lightbridge Hospice, Llc 6155 Cornerstone Ct. East, Ste. 220 San Diego CA 9 (San Francisco) 06/06/2025 455032065 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
L0520 Initial & Comprehensive Assessment Of Patient 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
L0549 Content Of Plan Of Care Standard
L0564 Program Data Standard
L0663 Training Standard
L0678 Content Standard
L0695 Label Dispose Storage Drugs Standard
051765 Rosedove, Inc. 1420 N Claremont Blvd, 104 A Claremont CA 9 (San Francisco) 05/26/2022 439935715 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
051765 Rosedove, Inc. 1420 N Claremont Blvd, 104 A Claremont CA 9 (San Francisco) 05/22/2025 455292575 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0013 Development Of Ep Policies And Procedures Standard
E0023 Policies/Procedures For Medical Documentation Standard
L0520 Initial & Comprehensive Assessment Of Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0547 Content Of Plan Of Care Standard
L0574 Executive Responsibilities Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0662 Training Standard
L0663 Training Standard
L0679 Authentication Standard
L0781 Coordination Of Services Standard
051766 Los Angeles Hospice, Inc. 3580 Wilshire Blvd Suite 1290 Los Angeles CA 9 (San Francisco) 04/28/2022 CFFO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0578 Infection Control Standard
051766 Los Angeles Hospice, Inc. 3580 Wilshire Blvd Suite 1290 Los Angeles CA 9 (San Francisco) 05/18/2022 CFFO12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0578 Infection Control Standard
051768 Pacific Hospice Care Corporation 17141 Ventura Blvd., Suite 201 Encino CA 9 (San Francisco) 12/09/2021 441015055 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0530 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0678 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard