S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
A01587 Van Nuys Serenity Hospice And Palliative Care, Inc 6314 Van Nuys Blvd Suite 216 Van Nuys CA 9 (San Francisco) 04/14/2022 ACHC 42558 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
A01589 Everloving Hospice, Inc. 6930 Owensmouth Avenue, #202 Canoga Park CA 9 (San Francisco) 05/19/2022 TJC 438797985 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0535 Patient Outcome Measures Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0581 Control Standard
L0674 Content Standard
L0680 Protection Of Information Standard
L0795 Criminal Background Checks Standard
A01590 Bniv Care Inc. 23875 Ventura Blvd Ste 204b Calabasas CA 9 (San Francisco) 05/19/2022 ACHC 42447 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
L0683 Discharge Or Transfer Of Care Standard
L0800 Laboratory Services Standard
A01590 Bniv Care Inc. 23875 Ventura Blvd Ste 204b Calabasas CA 9 (San Francisco) 07/06/2022 ACHC 43748 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
A01591 La Bella Vita Hospice, Inc. 30941 Agoura Rd., Suite 124 Westlake Village CA 9 (San Francisco) 05/12/2022 TJC 439152575 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0667 Initial Certification Of Terminal Illness Standard
L0678 Content Standard
A01592 Butterfly Hospice 600 N Mountain Avenue, Suite C206 Upland CA 9 (San Francisco) 07/21/2022 TJC 439936895 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0671 Clinical Records Standard
L0716 Inpatient Care Provided Under Arrangements Standard
A01592 Butterfly Hospice 600 N Mountain Avenue, Suite C206 Upland CA 9 (San Francisco) 07/10/2025 TJC 455856825 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0564 Program Data Standard
L0594 Medical Social Services Standard
L0629 Supervision Of Hospice Aides Standard
L0643 Training Standard
L0647 Level Of Activity Standard
L0667 Initial Certification Of Terminal Illness Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
L0795 Criminal Background Checks Standard
A01593 Absolute Hospice Care 3944 Murphy Canyon Drive Suite C100 San Diego CA 9 (San Francisco) 08/25/2022 TJC 441502895 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
A01593 Absolute Hospice Care 3944 Murphy Canyon Drive Suite C100 San Diego CA 9 (San Francisco) 08/22/2025 TJC 456944285 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update 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
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0678 Content Standard
L0781 Coordination Of Services Standard
A01595 Vertex Hospice Care, Inc 28436 Constellation Road, Suite 100 Santa Clarita CA 9 (San Francisco) 12/31/2022 State Agency 5E9A7-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
L0519 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0537 Idg, Care Planning, Coordination Of Services Standard
L0543 Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0557 Coordination Of Services Standard
L0579 Prevention Standard
L0588 Core Services Standard
L0643 Training Standard
L0671 Clinical Records Standard
L0727 Safety Management Standard
L0765 Written Agreement Standard