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
▼ A11666 Dm Care Hospice 7100 Hayvenhurst Ave Unit 309 Van Nuys CA 9 (San Francisco) 08/03/2023 State Agency 60A3A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0530 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
▼ A11667 Golden Coast Hospice And Palliative Care, Inc. 2522 Chambers Road, Suite 100 Tustin CA 9 (San Francisco) 11/09/2023 ACHC 1202264 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
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
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0673 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
L0774 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ A11667 Golden Coast Hospice And Palliative Care, Inc. 2522 Chambers Road, Suite 100 Tustin CA 9 (San Francisco) 12/13/2023 ACHC 1205137 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
▼ A11669 Divine Angels Hospice 4712 Brooks St Montclair CA 9 (San Francisco) 05/02/2024 TJC 450246155 Initial
Deficiency Tag Deficiency Description Tag Type
E0030 Names And Contact Information Standard
L0515 Rights Of The Patient Standard
L0545 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ A11670 Huntington Hospice Care Inc 12750 Center Court Dr S Ste 660 Cerritos CA 9 (San Francisco) 08/31/2023 ACHC 1199117 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment 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
L0559 Quality Assessment & Performance Improvement Condition
L0564 Program Data Standard
L0565 Program Data Standard
L0566 Program Activities Standard
L0572 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0594 Medical Social Services Standard
L0596 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0673 Content Standard
L0679 Authentication Standard
L0681 Retention Of Records Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
▼ A11671 La County Hospice, Inc 1259 S Glendale Ave, Ste D Glendale CA 9 (San Francisco) 10/18/2023 ACHC 1198845 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
▼ A11674 Attaie Healthcare Inc. 4133 Mohr Avenue, Suite A Pleasanton CA 9 (San Francisco) 02/15/2024 ACHC 1212248 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0629 Supervision Of Hospice Aides Standard
L0773 Hospice Plan Of Care Standard
▼ A11675 Kattleya Hospice & Palliative Care 4959 Palo Verde St. Suite 106b Montclair CA 9 (San Francisco) 03/07/2024 ACHC 1271171 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment 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
L0615 Competency Evaluation Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0695 Label Dispose Storage Drugs Standard
L0713 Inpatient Care Provided Under Arrangements Standard
▼ A11676 Gravatis Hospice Care Inc 5199 E Pacific Coast Highway, Suite 511 Long Beach CA 9 (San Francisco) 12/29/2022 CHAP DEC2722_IEJ_8548641_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
▼ A11678 Ametrine Hospice 3100 W Burbank Blvd Unit 204 Burbank CA 9 (San Francisco) 11/10/2023 ACHC 1202265 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment 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
L0626 Hospice Aide Assignments And Duties Standard