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
▼ B21782 Sequoia Hospice Inc 55 Shaw Ave Suite 112 Clovis CA 9 (San Francisco) 08/01/2024 1250244 Follow-Up
Deficiency Tag Deficiency Description Tag Type
E0033 Methods For Sharing Information Standard
L0559 Quality Assessment & Performance Improvement Condition
L0568 Program Activities Standard
L0572 Performance Improvement Projects Standard
L0641 Volunteers Condition
L0645 Recruiting And Retaining Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
▼ B21782 Sequoia Hospice Inc 55 Shaw Ave Suite 112 Clovis CA 9 (San Francisco) 08/28/2024 1250245 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0647 Level Of Activity Standard
▼ B21783 Nuera Hospice Inc 19725 Sherman Way, Unit 220 Canoga Park CA 9 (San Francisco) 08/22/2024 1238973 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0533 Update 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
L0626 Hospice Aide Assignments And Duties Standard
L0661 Training Standard
L0662 Training Standard
L0663 Training Standard
L0784 Personnel Qualification Standard
L0791 Personnel Qualification Standard
L0795 Criminal Background Checks Standard
▼ B21784 Nirvana Hospice, Inc. 14120 Victory Blvd #104 Van Nuys CA 9 (San Francisco) 10/14/2021 1114998 Initial
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
▼ B21785 Well Care Hospice Inc. 1543 East Palmdale Blvd., Suite J Palmdale CA 9 (San Francisco) 11/08/2024 1250423 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0522 Initial Assessment Standard
L0528 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0539 Approach To Service Delivery Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0551 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0692 Administration Of Drugs And Biologicals Standard
▼ B21785 Well Care Hospice Inc. 1543 East Palmdale Blvd., Suite J Palmdale CA 9 (San Francisco) 12/19/2024 1251790 Initial with CCN Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
▼ B21789 Eagles Wings Hospice Llc 27290 Madison Ave., Suite 103 Temecula CA 9 (San Francisco) 05/14/2025 1264970 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0533 Update 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
L0552 Review Of The Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0607 Hospice Aide And Homemaker Services Condition
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
L0763 Written Agreement Standard
L0764 Written Agreement Standard
L0772 Written Agreement Standard
▼ B21790 Doctor's Choice Palliative And Hospice Care Inc 14112 Victory Blvd, Suite 101 Van Nuys CA 9 (San Francisco) 04/11/2025 1261893 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0553 Review Of The Plan Of Care Standard
▼ B21791 Coventry Hospice 5050 Palo Verde St Suite 123 Montclair CA 9 (San Francisco) 10/28/2021 1114753 Initial
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
▼ B21791 Coventry Hospice 14532 Central Ave. Chino CA 9 (San Francisco) 10/31/2024 64853-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0023 Policies/Procedures For Medical Documentation Standard
E0032 Primary/Alternate Means For Communication Standard
L0000 Initial Comments Memo
L0571 Performance Improvement Projects Standard
L0580 Control Standard