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
▼ B21679 Divine Hospice And Palliative Care Inc 3721 W Burbank Blvd., Unit B Burbank CA 9 (San Francisco) 08/09/2024 1238286 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0536 Idg, Care Planning, Coordination Of Services Condition
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
▼ B21680 Altadena Hospice Care, Inc 133 N Altadena Drive, Suite 385 Pasadena CA 9 (San Francisco) 08/07/2024 1238266 Reaccreditation
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
L0549 Content Of Plan Of Care Standard
L0556 Coordination Of Services Standard
L0668 Recertification Of The Terminal Illness Standard
▼ B21681 Care Village Hospice Inc. 11631 Victory Blvd., Suite 206 North Hollywood CA 9 (San Francisco) 07/02/2025 1268487 Initial
Deficiency Tag Deficiency Description Tag Type
L0684 Discharge Or Transfer Of Care Standard
▼ B21682 Tranquil Hospice, Inc. 15 E. Harvard St. Suite 101c Glendale CA 9 (San Francisco) 10/18/2023 1216983 Follow-Up
Deficiency Tag Deficiency Description Tag Type
E0033 Methods For Sharing Information Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0548 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
L0581 Control Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0670 Clinical Records Condition
L0679 Authentication Standard
L0685 Retrieval Of Clinical Records Standard
▼ B21682 Tranquil Hospice, Inc. 415 E. Harvard St. Suite 101c Glendale CA 9 (San Francisco) 07/11/2024 N/A Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
L0655 Professional Management Responsibility Standard
L0764 Written Agreement Standard
▼ B21683 Radiant Hospice Inc. 6931 Van Nuys Blvd., Suite 206 Van Nuys CA 9 (San Francisco) 03/12/2025 1259437 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0539 Approach To Service Delivery Standard
L0545 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
L0579 Prevention Standard
L0587 Core 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
L0655 Professional Management Responsibility Standard
L0673 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0799 Multiple Locations Standard
▼ B21683 Radiant Hospice Inc. 6931 Van Nuys Blvd., Suite 206 Van Nuys CA 9 (San Francisco) 04/29/2025 1264962 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
▼ B21684 Golden Time Hospice Inc 24355 Lyons Avenue, Suite 235 Santa Clarita CA 9 (San Francisco) 07/25/2024 1237985 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0039 Ep Testing Requirements Standard
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0575 Executive Responsibilities Standard
L0579 Prevention Standard
L0587 Core Services Condition
L0596 Counseling Services Standard
L0620 In-Service Training Standard
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0655 Professional Management Responsibility Standard
L0661 Training Standard
L0771 Written Agreement Standard
L0795 Criminal Background Checks Standard
▼ B21684 Golden Time Hospice Inc 24355 Lyons Avenue, Suite 235 Santaclarita CA 9 (San Francisco) 09/12/2024 1243446 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0684 Discharge Or Transfer Of Care Standard
▼ B21684 Golden Time Hospice, Inc 24355 Lyons Ave Suite 235 Santa Clarita CA 9 (San Francisco) 08/14/2025 1D3A37-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0558 Coordination Of Services Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0676 Content Standard