S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

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Note: Hospice 2567s data begin starting October 2021.

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ A11773 Superb Hospice Inc 14545 Friar Street, Suite 170 Van Nuys CA 9 (San Francisco) 01/18/2024 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 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
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 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 1236394 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 1221914 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
▼ A11778 Adya Hospice And Palliative Care, Llc 1652 W. Texas St., Ste. 207 Fairfield CA 9 (San Francisco) 02/21/2024 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 90 Mission Dr., Ste 2 Pleasanton CA 9 (San Francisco) 02/22/2024 1222270 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 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
▼ A11782 Midas Healing Hospice, Inc 401 N. Brand Blvd.Ste L 1061 Glendale CA 9 (San Francisco) 10/17/2024 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 1222152 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