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
▼ A11529 Faith Kay Hospice, Llc 10586 Magnolia Ave Riverside CA 9 (San Francisco) 07/28/2023 TJC 446657535 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0501 Patients Rights Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0695 Label Dispose Storage Drugs Standard
▼ A11530 Medquest Hospice Care 1050 W Lake Drive Suite 225 West Covina CA 9 (San Francisco) 04/13/2023 TJC 444048895 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
E0039 Ep Testing Requirements Standard
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0515 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0521 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Condition
L0523 Timeframe For Completion Of Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0565 Program Data Standard
L0571 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0586 Licensed Professional Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0632 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0651 Governing Body And Administrator Condition
L0662 Training Condition
L0663 Training Condition
L0667 Initial Certification Of Terminal Illness Standard
L0671 Clinical Records Condition
L0673 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0705 Short-Term Inpatient Care Condition
L0721 Staffing Condition
L0795 Criminal Background Checks Condition
L0798 Federal, State, Local Laws & Regulations Condition
▼ A11530 Medquest Hospice Care 1050 W Lake Drive Suite 225 West Covina CA 9 (San Francisco) 06/01/2023 TJC 447994605 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
▼ A11533 Sun Rise Hospice 13658 Hawthorne Boulevard #200b Hawthorne CA 9 (San Francisco) 03/14/2023 ACHC 1166459 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0032 Primary/Alternate Means For Communication Standard
E0037 Ep Training Program Standard
L0500 Patients Rights Condition
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0512 Rights Of The Patient Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0537 Idg, Care Planning, Coordination Of Services 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
L0560 Quality Assessment & Performance Improvement Standard
L0580 Control Standard
L0581 Control Standard
L0594 Medical Social Services Standard
L0596 Counseling Services Standard
L0601 Furnishing Of Non-Core Services Condition
L0602 Furnishing Of Non-Core Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0609 Hospice Aide Qualifications Standard
L0615 Competency Evaluation Standard
L0623 Hospice Aide Instructor Qualifications Standard
L0641 Volunteers Condition
L0642 Volunteers Standard
L0643 Training Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0648 Organizational Environment Condition
L0649 Organization And Administration Of Services Standard
L0651 Governing Body And Administrator Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0673 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0685 Retrieval Of Clinical Records Standard
L0703 Use And Mintenance Of Equipment And Supplies Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
L0788 Personnel Qualification Standard
L0793 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ A11533 Sun Rise Hospice 13658 Hawthorne Blvd, Suite #200b Hawthorne CA 9 (San Francisco) 08/23/2024 ACHC 1238986 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
▼ A11534 Western Palliative Care Inc 21860 Burbank Blvd Suite 180 B Woodland Hills CA 9 (San Francisco) 08/16/2023 ACHC 1185185 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ A11534 Western Palliative Care, Inc 21860 Burbank Blvd, Suite 180 B Woodland Hills CA 9 (San Francisco) 07/26/2024 State Agency 63B6A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0583 Licensed Professional Services Condition
L0585 Licensed Professional Services Standard
L0586 Licensed Professional Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0799 Multiple Locations Standard
▼ A11534 Western Palliative Care, Inc 21860 Burbank Blvd, Suite 180 B Woodland Hills CA 9 (San Francisco) 10/18/2024 State Agency 63B6A-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0583 Licensed Professional Services Condition
L0585 Licensed Professional Services Standard
L0586 Licensed Professional Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0799 Multiple Locations Standard
▼ A11534 Western Palliative Care, Inc 21860 Burbank Blvd, Suite 180 B Woodland Hills CA 9 (San Francisco) 12/12/2024 State Agency 63B6A-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
▼ A11534 Western Palliative Care, Inc 21860 Burbank Blvd, Suite 180 B Woodland Hills CA 9 (San Francisco) 02/26/2025 State Agency 63B6A-H4 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard