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
A11634 Fortitude Hospice, Inc 3700 Wilshire Blvd Suite 610 Los Angeles CA 9 (San Francisco) 04/14/2024 State Agency 61DE2-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0558 Coordination Of Services Standard
L0587 Core Services Condition
L0595 Counseling Services Standard
L0598 Counseling Services Standard
L0672 Content Standard
A11635 Serafim Hospice, Inc. 4419 Van Nuys Blvd, Suite 401 Sherman Oaks CA 9 (San Francisco) 09/15/2023 ACHC 1188281 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
A11636 Golden Hearth Hospice, Inc 225 E Broadway, Ste 214 Glendale CA 9 (San Francisco) 08/11/2023 ACHC 1185174 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
A11637 Angel Hospice Service, Inc. 6850 Van Nuys Blvd., Ste. 320 Van Nuys CA 9 (San Francisco) 08/24/2023 ACHC 1183783 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
A11638 First Aid Hospice, Inc. 401 N. Brand Blvd, Suite 262 Glendale CA 9 (San Francisco) 07/25/2024 ACHC 1237968 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
A11639 Usa Hospice, Inc. 120 Victory Blvd, Suite 305 Burbank CA 9 (San Francisco) 09/08/2023 ACHC 1188476 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0677 Content Standard
L0679 Authentication Standard
A11641 A1kare Hospice & Palliative Care 8300 Tampa Avenue, Suite G Northridge CA 9 (San Francisco) 09/28/2023 ACHC 1199116 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
A11642 Sirius Hospice Inc. 14547 Titus St. Ste 108 Panorama City CA 9 (San Francisco) 04/10/2024 ACHC 1221908 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
A11643 Golden State Hospice 20945 Devonshire Street, Suite 206 Chatsworth CA 9 (San Francisco) 10/05/2023 ACHC 1188701 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0523 Timeframe For Completion Of Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0544 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
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0681 Retention Of Records Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0690 Ordering Of Drugs Standard
A11644 Good Faith Hospice, Inc 315 W. Verdugo Ave. Ste 103 Burbank CA 9 (San Francisco) 03/14/2022 TJC 440187805 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0663 Training Standard