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
▼ A01738 Lake Forest Hospice 22772 Center Drive Suite 200 Lake Forest CA 9 (San Francisco) 01/27/2023 ACHC 1163144 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0795 Criminal Background Checks Standard
▼ A01739 Hospice Of Hope 25301 Cabot Rd Ste 110 Laguna Hills CA 9 (San Francisco) 07/17/2025 TJC 457112555 Initial
Deficiency Tag Deficiency Description Tag Type
E0023 Policies/Procedures For Medical Documentation Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0650 Serving The Hospice Patient And Family Standard
▼ A01741 Universal Health Net Monterey, Inc 824 Munras Ave Suite C Monterey CA 9 (San Francisco) 01/25/2024 ACHC 1211197 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ A01742 Life Tree Hospice 17779 Ventura Blvd. Ste 202 Encino CA 9 (San Francisco) 04/27/2023 ACHC 1172462 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 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
L0540 Approach To Service Delivery Standard
L0545 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
L0559 Quality Assessment & Performance Improvement Condition
L0565 Program Data Standard
L0570 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0598 Counseling Services Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0649 Organization And Administration Of Services Standard
L0651 Governing Body And Administrator Standard
L0661 Training Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0796 Criminal Background Checks Standard
L0800 Laboratory Services Standard
▼ A01742 Life Tree Hospice, Inc 17779 Ventura Blvd, Suite 202 Encino CA 9 (San Francisco) 07/13/2023 CHAP JUL1123_RYO_8549145_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
▼ A01745 Amazon Hospice, Inc. 2420 W. Carson Street Suite 205 Torrance CA 9 (San Francisco) 11/15/2022 ACHC 45516 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0673 Content Standard
▼ A01745 Amazon Hospice, Inc. 2420 W. Carson Street Suite 205 Torrance CA 9 (San Francisco) 12/18/2025 ACHC 67211 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 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
L0626 Hospice Aide Assignments And Duties Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ A01746 Topanga Hospice Care, Inc 18300 Gridley Rd #G Artesia CA 9 (San Francisco) 07/20/2023 ACHC 1181870 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
▼ A01747 Virgo Hospice, Inc. 1740 Huntington Drive Suite 205 Duarte CA 9 (San Francisco) 07/13/2023 ACHC 1180568 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0673 Content Standard
L0679 Authentication Standard
L0773 Hospice Plan Of Care Standard
▼ A01748 West Coast Palliative Care Inc 401 N Brand Blvd, Suite 627 Glendale CA 9 (San Francisco) 01/05/2023 ACHC 1161083 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard