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 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
A11784 Savior Hospice Care Inc 2209 Jefferson Street Napa CA 9 (San Francisco) 07/31/2024 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 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
L0649 Organization And Administration Of Services 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 Street Napa CA 9 (San Francisco) 09/23/2024 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
A11786 A Choice Hospice Corp 6621 Van Nuys Blvd, Suite 102 Van Nuys CA 9 (San Francisco) 05/17/2024 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 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 2461 E. Orangethorpe Ave, Suite 221 Fullerton CA 9 (San Francisco) 04/19/2024 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
A11791 Angels Protection Hospice Inc. 1616 Victory Blvd, Ste. 103 Glendale CA 9 (San Francisco) 03/14/2024 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
A11792 Astrum Hospice, Inc. 28100 Bouquet Canyon Rd., Ste 206 Santa Clarita CA 9 (San Francisco) 02/15/2024 1217201 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0564 Program Data Standard
L0570 Program Activities Standard
L0667 Initial Certification Of Terminal Illness Standard
L0679 Authentication Standard
A11793 Best In The West Hospice Inc 19231 Victory Blvd, Suite 556 Reseda CA 9 (San Francisco) 03/28/2024 N/A Initial
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
L0673 Content Standard
A11795 Calm Care Hospice Inc 21405 Devonshire St., Suite 223 Chatsworth CA 9 (San Francisco) 03/06/2024 1224739 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0626 Hospice Aide Assignments And Duties Standard
A11796 Competent Hospice Inc 21021 Devonshire St Suite 205 Chatsworth CA 9 (San Francisco) 05/02/2024 1224804 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard