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
▼ B21579 Community Care Hospice, Inc. 13629 1/2 Victory Blvd. Van Nuys CA 9 (San Francisco) 06/06/2024 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0546 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0632 Supervision Of Hospice Aides Standard
L0674 Content Standard
L0795 Criminal Background Checks Standard
▼ B21580 Beyond Life Hospice, Inc. 21049 Devonshire St, Suite #201b Chatsworth CA 9 (San Francisco) 08/07/2024 1245929 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0629 Supervision Of Hospice Aides Standard
▼ B21581 Freedom Life Hospice Llc 18455 Burbank Blvd., Suite 210 Tarzana CA 9 (San Francisco) 07/17/2024 1234806 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ B21584 Healthy Lifestyle Hospice Care Inc 121 W Lexington Dr, Ste 602 Glendale CA 9 (San Francisco) 05/09/2024 1225233 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
▼ B21585 Pro-Med Hospice Inc 6621 Van Nuys Blvd, Unit 108 Van Nuys CA 9 (San Francisco) 09/16/2022 1155278 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ B21585 Equinox Hospice Inc. 11232 Vanowen St., Unit A1 North Hollywood CA 9 (San Francisco) 05/09/2024 1230516 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment Of The Emergency Program (Ep) Condition
E0007 Ep Program Patient Population Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
E0033 Methods For Sharing Information 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
L0572 Performance Improvement Projects Standard
L0573 Performance Improvement Projects Standard
L0577 Infection Control Condition
L0579 Prevention Standard
L0581 Control Standard
L0632 Supervision Of Hospice Aides Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0655 Professional Management Responsibility Standard
L0662 Training Standard
L0670 Clinical Records Condition
L0674 Content Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
L0796 Criminal Background Checks Standard
▼ B21585 Equinox Hospice Inc. 11232 Vanowen St., Unit A1 North Hollywood CA 9 (San Francisco) 06/21/2024 1240714 Follow-Up
Deficiency Tag Deficiency Description Tag Type
E0007 Ep Program Patient Population Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
L0581 Control Standard
L0682 Discharge Or Transfer Of Care Standard
▼ B21586 Caring Kind Hospice Inc 14545 Friar Street, Ste 182 Van Nuys CA 9 (San Francisco) 03/20/2024 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0552 Review Of The Plan Of Care Standard
▼ B21587 Faith And Life Hospice, Inc. 356 W Colorado St, Ste C Glendale CA 9 (San Francisco) 03/28/2024 1219423 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ B21588 Envoy Hospice Care Inc 3151 Cahuenga Blvd, Suite 307 Los Angeles CA 9 (San Francisco) 03/21/2024 1224745 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard