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
A11656 Heartford Hospice Care, Inc. 3 Park Plz, Ste 550 Irvine CA 9 (San Francisco) 10/04/2023 ACHC 1188705 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0025 Arrangement With Other Facilities Standard
L0530 Content Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
A11657 Prime Care Hospice, Inc. 1540 W. Glenoaks Blvd, #203 Glendale CA 9 (San Francisco) 08/16/2023 TJC 447903895 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0004 Develop Ep Plan, Review And Update Annually Standard
E0039 Ep Testing Requirements Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0560 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0563 Program Data Standard
L0564 Program Data Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0566 Program Activities Standard
L0569 Program Activities Standard
L0570 Program Activities Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0575 Executive Responsibilities Standard
L0576 Executive Responsibilities Standard
L0578 Infection Control Condition
L0579 Prevention Standard
L0580 Control Standard
L0581 Control Standard
L0581 Control Standard
L0582 Education Standard
L0586 Licensed Professional Services Standard
L0588 Core Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0671 Clinical Records Condition
A11657 Prime Care Hospice, Inc. 1540 W. Glenoaks Blvd, #203 Glendale CA 9 (San Francisco) 09/28/2023 TJC 449693705 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0576 Executive Responsibilities Standard
L0582 Education Standard
A11657 Prime Care Hospice, Inc. 1540 W. Glenoaks Blvd, #203 Glendale CA 9 (San Francisco) 03/06/2024 TJC 449693765 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0547 Content Of Plan Of Care Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
A11658 Zen Hospice, Inc 16250 Ventura Blvd, Ste 216 Encino CA 9 (San Francisco) 02/29/2024 ACHC 1213012 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
A11660 Alpha Omega Ventana Hospice Inc. 5575 Ruffin Rd , Suite 250 San Diego CA 9 (San Francisco) 07/27/2023 CHAP JUL2523_PFB_8549169_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0683 Discharge Or Transfer Of Care Standard
A11661 Devine Hospice Care, Inc. 20945 Devonshire St., Suite 201-C Chatsworth CA 9 (San Francisco) 08/16/2023 ACHC 1185173 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
A11662 Arc Angel Hospice & Palliative Care, Inc 11752 Garden Grove Boulevard Suite 212 Garden Grove CA 9 (San Francisco) 08/24/2023 TJC 445958995 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
A11663 Altair Hospice Care, Inc 471 Old Newport Blvd., Ste 101 Newport Beach CA 9 (San Francisco) 02/20/2024 ACHC 1211850 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0697 Label Dispose Storage Drugs Standard
A11665 Light Hospice Inc. 13615 Victory Blvd, Ste 112 Van Nuys CA 9 (San Francisco) 10/04/2022 ACHC 44929 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard