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
A11619 Silver Sky Hospice, Inc. 20121 Ventura Blvd Suite 309 Woodland Hills CA 9 (San Francisco) 06/22/2023 TJC 446365955 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0579 Prevention Standard
L0586 Licensed Professional Services Standard
L0662 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
A11620 Community Health Care Hospice Inc 15315 Magnolia Blvd Suite 314 Sherman Oaks CA 9 (San Francisco) 10/19/2023 ACHC 1198814 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0031 Emergency Officials Contact Information Standard
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0663 Training Standard
L0679 Authentication Standard
L0697 Label Dispose Storage Drugs Standard
L0714 Inpatient Care Provided Under Arrangements Standard
L0716 Inpatient Care Provided Under Arrangements Standard
L0764 Written Agreement Standard
L0765 Written Agreement Standard
L0766 Written Agreement Standard
L0767 Written Agreement Standard
L0770 Written Agreement Standard
L0771 Written Agreement Standard
A11621 Golden Gate Hospice Care 6420 Van Nuys Blvd, Suite 201 Van Nuys CA 9 (San Francisco) 09/08/2023 TJC 449060445 Initial
Deficiency Tag Deficiency Description Tag Type
L0513 Rights Of The Patient Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0581 Control Standard
L0581 Control Standard
L0663 Training Standard
L0795 Criminal Background Checks Standard
A11622 Melrose Healthcare Group 7730 Foothill Blvd Tujunga CA 9 (San Francisco) 09/21/2023 TJC 447388445 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0615 Competency Evaluation Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0674 Content Standard
L0679 Authentication Standard
L0797 Federal, State, Local Laws & Regulations Condition
A11623 Norris Hospice, Inc. 9007 Arrow Route Suite 240 Rancho Cucamonga CA 9 (San Francisco) 12/01/2023 ACHC 1204240 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0596 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0774 Hospice Plan Of Care Standard
A11624 Unique Hospice Care Inc. 7321 Atoll Ave Suite 107 North Hollywood CA 9 (San Francisco) 08/17/2023 ACHC 1185171 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0504 Notice Of Rights And Responsibilities Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
A11625 Pacific Palliative Services Inc 10523 Burbank Blvd, Suite 107 North Hollywood CA 9 (San Francisco) 06/16/2023 ACHC 1176135 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
A11626 Golden Seasons Hospice, Inc. 2550 N. Hollywood Way, Suite 502 Burbank CA 9 (San Francisco) 05/05/2023 TJC 445380285 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
A11627 Art Of Hospice, Inc. 6345 Balboa Blvd. Ste 195 Encino CA 9 (San Francisco) 06/28/2023 ACHC 1178022 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
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
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Standard
L0664 Medical Director Condition
L0673 Content Standard
A11627 Art Of Hospice, Inc. 6345 Balboa Blvd. Ste 195 Encino CA 9 (San Francisco) 08/14/2023 ACHC 1185118 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard