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
A11772 Rosewood Hospice & Palliative Care, Inc 1241 S Glendale Ave, Suite 301c Glendale CA 9 (San Francisco) 10/05/2023 State Agency 61282-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0507 Exercise Of Rights/Respect For Proprty/Person Standard
L0518 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0795 Criminal Background Checks Standard
A11772 Rosewood Hospice & Palliative Care, Inc 207 E Los Feliz Rd. Suite C Glendale CA 9 (San Francisco) 02/15/2024 TJC 450555925 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0505 Exercise Of Rights/Respect For Proprty/Person Condition
L0531 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0561 Program Scope Standard
L0564 Program Data Standard
L0564 Program Data Standard
L0569 Program Activities Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0579 Prevention Standard
L0587 Core Services Condition
L0651 Governing Body And Administrator Condition
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0674 Content Standard
L0795 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
A11773 Superb Hospice Inc 14545 Friar Street, Suite 170 Van Nuys CA 9 (San Francisco) 01/18/2024 ACHC 1211209 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
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
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
A11775 Cng International Inc. 120 W. American Canyon Rd. M-10 American Canyon CA 9 (San Francisco) 05/16/2024 ACHC 1225094 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
A11776 E2 Hospice, Inc. 5123 West Sunset Blvd. Suite 206 Los Angeles CA 9 (San Francisco) 06/06/2024 ACHC 1231444 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 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
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0771 Written Agreement Standard
A11776 E2 Hospice, Inc. 5123 West Sunset Blvd. Suite 206 Los Angeles CA 9 (San Francisco) 07/18/2024 ACHC 1236394 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
A11777 Love And Peace Hospice Inc 22048 Sherman Way, Suite 312 Canoga Park CA 9 (San Francisco) 04/10/2024 ACHC 1221914 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
A11778 Adya Hospice & Palliative Care, Llc 700 Main St, Ste 210 Suisun City CA 9 (San Francisco) 02/21/2024 ACHC 1211849 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of 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
L0647 Level Of Activity Standard
L0773 Hospice Plan Of Care Standard
A11780 Anodyne Hospice Care Llc 39111 Paseo Padre Pkwy, Suite 305 Fremont CA 9 (San Francisco) 02/22/2024 CHAP FEB2024_LRU_8546511_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0591 Nursing Services Standard
L0598 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0653 Services Standard
L0672 Content Standard
L0678 Content Standard
A11781 Madrona Hospice Care Inc 185 N Redwood Dr., Ste 110 San Rafael CA 9 (San Francisco) 05/22/2024 ACHC 1225327 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0655 Professional Management Responsibility Standard
L0677 Content Standard
L0679 Authentication Standard
L0711 Inpatient Care Provided Under Arrangements Standard
L0712 Inpatient Care Provided Under Arrangements Standard
L0713 Inpatient Care Provided Under Arrangements Standard