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
A11524 Senior Care Living Solutions, Llc 2280 Wardlow Circle, Suite 245 Corona CA 9 (San Francisco) 10/04/2023 ACHC 1188697 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
L0683 Discharge Or Transfer Of Care Standard
A11525 Capital Hospice, Inc 1445 East Los Angeles Avenue Simi Valley CA 9 (San Francisco) 08/02/2023 State Agency 5FA41-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
A11525 Capital Hospice, Inc 1445 East Los Angeles Avenue Simi Valley CA 9 (San Francisco) 08/15/2023 State Agency 5FA41-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
A11525 Capital Hospice, Inc. 1445 E Los Angeles Ave, #301f Simi Valley CA 9 (San Francisco) 01/25/2024 ACHC 1211203 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
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
L0676 Content Standard
A11527 Beta Hospice Care Inc 1525 N. D St., Suite 10 San Bernardino CA 9 (San Francisco) 09/14/2023 ACHC 1264675 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
A11528 Amalfi Hospice Care, Inc. 435 Orange Show Lane, Suites 201 And 202 San Bernardino CA 9 (San Francisco) 12/07/2022 TJC 440188005 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0541 Approach To Service Delivery Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0557 Coordination Of Services Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Standard
L0674 Content Standard
L0680 Protection Of Information Standard
L0685 Retrieval Of Clinical Records Standard
L0798 Federal, State, Local Laws & Regulations Condition
A11528 Amalfi Hospice Care, Inc. 435 Orange Show Lane, Suites 201 And 202 San Bernardino CA 9 (San Francisco) 03/02/2023 TJC 445876505 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0535 Patient Outcome Measures Standard
A11528 Amalfi Hospice Care, Inc. 435 Orange Show Lane, Suites 201 And 202 San Bernardino CA 9 (San Francisco) 11/02/2023 TJC 447042155 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0030 Names And Contact Information Standard
L0555 Coordination Of Services Standard
A11528 Amalfi Hospice Care, Inc 435 Orange Show Lane Suite 201-202 San Bernardino CA 9 (San Francisco) 04/24/2025 State Agency 65F34-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0669 Medical Director Responsibility Standard
A11529 Faith Kay Hospice, Llc 10586 Magnolia Ave Riverside CA 9 (San Francisco) 12/09/2022 TJC 439724805 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0674 Content Standard