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
A01695 Abba Hospice, Inc. 20955 Pathfinder Road, Suite 332 Diamond Bar CA 9 (San Francisco) 02/23/2023 TJC 443037895 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0671 Clinical Records Condition
L0678 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
A01695 Abba Hospice, Inc. 20955 Pathfinder Road, Suite 332 Diamond Bar CA 9 (San Francisco) 04/07/2023 TJC 447190115 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Condition
L0651 Governing Body And Administrator Condition
A01696 Holistic Hospice Care, Inc. 12598 Central Avenue, Suite 212 Chino CA 9 (San Francisco) 02/09/2023 TJC 442577695 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0007 Ep Program Patient Population Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0030 Names And Contact Information Standard
L0547 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
A01697 Legacy Care Hospice, Inc. 36923 Cook Street, Suite 102-1 Palm Desert CA 9 (San Francisco) 10/27/2022 ACHC 44874 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
A01697 Legacy Care Hospice, Inc. 36923 Cook Street, Suite 102-1 Palm Desert CA 9 (San Francisco) 10/24/2025 ACHC 1276599 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
A01698 Nexus Legacy, Inc. 640 S. Sunset Avenue, Suite 202 West Covina CA 9 (San Francisco) 03/23/2023 TJC 444122275 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0564 Program Data Standard
L0579 Prevention Standard
L0678 Content Standard
L0695 Label Dispose Storage Drugs Standard
A01699 Absolute Hospice Agency Llc 4910 Van Nuys Blvd, Suite 212 Sherman Oaks CA 9 (San Francisco) 10/24/2024 CHAP OCT2224_HKZ_8550412_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0545 Content Of Plan Of Care Standard
L0647 Level Of Activity Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
A01700 Sdkj Forever, Llc 11428 East Artesia Blvd, Suite 26 Artesia CA 9 (San Francisco) 07/16/2023 State Agency 606A1-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
L0530 Content Of Comprehensive Assessment Standard
L0684 Discharge Or Transfer Of Care Standard
A01700 Sdkj Forever, Llc 11428 East Artesia Blvd, Suite 26 Artesia CA 9 (San Francisco) 08/14/2023 State Agency 606A1-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0004 Develop Ep Plan, Review And Update Annually Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0684 Discharge Or Transfer Of Care Standard
A01701 Valley Heart Hospice Care, Inc. 20953 Devonshire Street, Suite 3b Chatsworth CA 9 (San Francisco) 07/08/2022 TJC 441930235 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard