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 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
▼ B21559 1st Response Hospice, Inc. 121 W Lexington Dr, Suite 662a Glendale CA 9 (San Francisco) 06/19/2024 1232851 Initial with CCN
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
L0655 Professional Management Responsibility Standard
L0673 Content Standard
L0679 Authentication Standard
▼ B21560 Better Choice Hospice Care, Inc 3436 N Verdugo Rd, Ste 107 Glendale CA 9 (San Francisco) 02/21/2024 1212245 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0673 Content Standard
▼ B21561 Mona Hospice, Inc 21031 Ventura Blvd ., Suite 307 Woodland Hills CA 9 (San Francisco) 05/09/2024 1225115 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
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
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Standard
L0662 Training Standard
L0673 Content Standard
L0679 Authentication Standard
▼ B21564 St. Teresa Hospice And Palliative Care, Inc. 2829 W. Burbank Blvd., Suite 202 Burbank CA 9 (San Francisco) 04/18/2024 1220114 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0673 Content Standard
L0679 Authentication Standard
▼ B21565 Cali Care Hospice 14242 Oxnard St Ste 203 Van Nuys CA 9 (San Francisco) 05/04/2023 5FB97-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0681 Retention Of Records Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B21566 Care Angels Hospice, Inc 6454 Van Nuys Blvd., Suite 217 Van Nuys CA 9 (San Francisco) 03/20/2024 1224743 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ B21567 Activate Care Hospice, Inc. 2904 Theresa Drive, Suite 104b Newbury Park CA 9 (San Francisco) 05/09/2024 1230767 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0018 Procedures For Tracking Of Staff And Patients Standard
E0033 Methods For Sharing Information Standard
E0034 Information On Occupancy/Needs Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0555 Coordination Of Services Standard
L0596 Counseling Services Standard
L0629 Supervision Of Hospice Aides Standard
L0645 Recruiting And Retaining Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ B21568 Golding Care Hospice, Inc 1240 N Van Buren St., Ste 202 Anaheim CA 9 (San Francisco) 05/23/2024 1225328 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
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
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0559 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0587 Core Services Condition
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
L0629 Supervision Of Hospice Aides Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0661 Training Standard
L0663 Training Standard
L0670 Clinical Records Condition
L0673 Content Standard
L0676 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0772 Written Agreement Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ B21568 Golding Care Hospice, Inc 1240 N Van Buren St., Ste 202 Anaheim CA 9 (San Francisco) 07/10/2024 1236392 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
▼ B21569 Young At Heart Hospice, Inc. 17620 Sherman Way,#217 Van Nuys CA 9 (San Francisco) 05/16/2024 1225105 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard