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
▼ A11782 Midas Healing Hospice, Inc 401 N. Brand Blvd,Ste L 106i Glendale CA 9 (San Francisco) 10/17/2024 ACHC 1249078 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0596 Counseling Services Standard
L0679 Authentication Standard
▼ A11783 Oakland Hospice Inc. 2366 Gold Meadow Way, Ste. 100 Gold River CA 9 (San Francisco) 02/08/2024 CHAP FEB0524_IXZ_8546469_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0629 Supervision Of Hospice Aides Standard
L0644 Role Standard
▼ A11784 Savior Hospice Care Inc 2209 Jefferson St Napa CA 9 (San Francisco) 07/31/2024 ACHC 1237983 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient 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
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0673 Content Standard
L0676 Content Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ A11784 Savior Hospice Care Inc 2209 Jefferson St Napa CA 9 (San Francisco) 09/23/2024 ACHC 1241700 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ A11785 Absolute Care Health Systems Hospice Inc. 7940 Silverton Avenue, Suite 203 San Diego CA 9 (San Francisco) 11/19/2025 ACHC 1278387 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0632 Supervision Of Hospice Aides Standard
▼ A11786 A Choice Hospice Corp 6621 Van Nuys Blvd, Suite 102 Van Nuys CA 9 (San Francisco) 05/17/2024 ACHC 1225110 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
▼ A11787 Affinity Hospice, Inc. 120 N Victory Blvd, Suite 104 Burbank CA 9 (San Francisco) 02/07/2024 ACHC 1211236 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ A11788 Adjustable Care Life Inc 1440 N. Harbor Blvd. #600b Fullerton CA 9 (San Francisco) 04/19/2024 ACHC 1220159 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 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
L0625 Hospice Aide Assignments And Duties Standard
▼ A11789 All Valley Hospice, Inc. 12440 Firestone Blvd. Suite 1020 Norwalk CA 9 (San Francisco) 06/11/2025 State Agency 6656D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0544 Plan Of Care Standard
L0620 In-Service Training Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0653 Services Standard
L0686 Drugs Biologicals Medical Supplies & Dme Condition
L0692 Administration Of Drugs And Biologicals Standard
▼ A11791 Angels Protection Hospice Inc. 1616 Victory Blvd Ste. 103 Glendale CA 9 (San Francisco) 03/14/2024 ACHC 1264678 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0668 Recertification Of The Terminal Illness Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
L0681 Retention Of Records Standard
L0685 Retrieval Of Clinical Records Standard