S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

Time Interval

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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
B21532 Saba Hospice Care, Inc. 18757 Burbank Blvd., Ste. 127 Tarzana CA 9 (San Francisco) 11/04/2022 TJC 439733185 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Condition
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0629 Supervision Of Hospice Aides Condition
L0651 Governing Body And Administrator Condition
L0667 Initial Certification Of Terminal Illness Condition
L0679 Authentication Condition
B21532 Saba Hospice Care, Inc. 18757 Burbank Blvd., Ste. 127 Tarzana CA 9 (San Francisco) 03/03/2023 TJC 446409105 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
B21532 Saba Hospice Care, Inc. 18757 Burbank Blvd., Ste. 127 Tarzana CA 9 (San Francisco) 01/05/2024 TJC 448613195 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0023 Policies/Procedures For Medical Documentation Standard
L0512 Rights Of The Patient Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0670 Clinical Records Condition
L0682 Discharge Or Transfer Of Care Standard
B21532 Saba Hospice Care, Inc 18747 Sherman Way, #229 Reseda CA 9 (San Francisco) 05/31/2024 State Agency 63369-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0518 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0551 Content Of Plan Of Care Standard
L0584 Licensed Professional Services Standard
L0587 Core Services Condition
L0590 Physician 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
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
B21534 Snj Hospice Care Llc 3500 W Olive Ave, Suite 300 Burbank CA 9 (San Francisco) 04/19/2024 ACHC 1220133 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0579 Prevention Standard
B21535 Morning Breeze Hospice, Inc 2102 Business Center Dr, Suite 237 Irvine CA 9 (San Francisco) 05/15/2024 ACHC 1225101 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0037 Ep Training Program Standard
L0500 Patients Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0503 Notice Of Rights And Responsibilities Standard
L0504 Notice Of Rights And Responsibilities Standard
L0507 Exercise Of Rights/Respect For Proprty/Person Standard
L0515 Rights Of The Patient Standard
L0516 Rights Of The Patient Standard
L0518 Rights Of The Patient Standard
L0519 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0544 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0551 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0556 Coordination Of Services Standard
L0579 Prevention Standard
L0587 Core Services Standard
L0587 Core Services Standard
L0587 Core Services Condition
L0595 Counseling Services Standard
L0596 Counseling Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0615 Competency Evaluation Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0641 Volunteers Condition
L0641 Volunteers Standard
L0644 Role Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0651 Governing Body And Administrator Standard
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training 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
L0677 Content Standard
L0679 Authentication Standard
L0707 Inpatient Care Pain & Symptom Control Standard
L0709 Inpatient Care For Respite Purposes Standard
L0783 Personnel Qualification Condition
L0784 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
B21535 Morning Breeze Hospice, Inc. 2102 Business Center Dr. Suite 237 Irvine CA 9 (San Francisco) 12/11/2024 ACHC 1251773 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0025 Arrangement With Other Facilities Standard
E0031 Emergency Officials Contact Information Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0655 Professional Management Responsibility Standard
B21537 Tinosa Hospice Inc 19531 Ventura Blvd, Unit 2 Tarzana CA 9 (San Francisco) 08/20/2024 ACHC 1238988 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0512 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
B21538 In Home Care Hospice, Inc 7415 Foothill Blvd, Unit B Tujunga CA 9 (San Francisco) 12/20/2023 ACHC 1205027 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
B21539 Hospice Best Care Inc 417 S San Gabriel Blvd Suite D San Gabriel CA 9 (San Francisco) 08/01/2024 ACHC 1237973 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard