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
A11512 Family Comfort Hospice, Inc 7502 Foothill Blvd, Suite 203 Tujunga CA 9 (San Francisco) 12/08/2021 State Agency 5OOK12 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0584 Licensed Professional Services Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0642 Volunteers Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0680 Protection Of Information Standard
A11513 Cardea Hospice And Palliative Care 16430 Ventura Blvd, Unit 202a Encino CA 9 (San Francisco) 05/25/2023 ACHC 1173971 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0679 Authentication Standard
A11514 Precious Hospice Care, Inc 126 S. Jackson St, Suite 307 Glendale CA 9 (San Francisco) 04/14/2023 ACHC 1172465 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
A11516 Bridge Hospice East Bay Llc 3021 Citrus Circle Suite 230 Walnut Creek CA 9 (San Francisco) 07/14/2023 ACHC 1180580 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0673 Content Standard
A11517 Md Choice Hospice Care 43015 Black Deer Loop, Suite 106 Temecula CA 9 (San Francisco) 12/15/2023 ACHC 1205024 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0515 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0538 Idg, Care Planning, Coordination Of Services Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0587 Core Services Condition
L0587 Core Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0664 Medical Director Condition
L0664 Medical Director Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0676 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
L0703 Use And Mintenance Of Equipment And Supplies Standard
A11517 Md Choice Hospice Care 43015 Black Deer Loop, Suite 106 Temecula CA 9 (San Francisco) 02/02/2024 ACHC 1211244 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0596 Counseling Services Standard
L0663 Training Standard
A11519 Superior Hospice Inc 320 E Walnut Ave Ste A Lompoc CA 9 (San Francisco) 09/14/2023 ACHC 1188467 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
A11520 St. Mary's Hospice & Palliative Care, Inc. 15300 Ventura Blvd, Suite 309 Sherman Oaks CA 9 (San Francisco) 05/04/2023 ACHC 1173613 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0679 Authentication Standard
A11522 Shrine Hospice Care Inc 7120 Hayvenhurst Ave Suite 212 Van Nuys CA 9 (San Francisco) 08/17/2023 ACHC 1185380 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
A11523 Avn Hospice Care 21822 Sherman Way, Suite 203 Canoga Park CA 9 (San Francisco) 05/04/2023 State Agency 5FADA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0518 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0662 Training Standard
L0664 Medical Director Condition
L0666 Medical Director Contract Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0681 Retention Of Records Standard
L0684 Discharge Or Transfer Of Care Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
L0795 Criminal Background Checks Standard