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
▼ B31722 Dolce Vita Hospice Care Inc. 17817 Chatsworth Street, Suite 210 Granada Hills CA 9 (San Francisco) 01/18/2022 1124019 Initial
Deficiency Tag Deficiency Description Tag Type
L0626 Hospice Aide Assignments And Duties Standard
▼ B31723 Blue Shield Hospice 425 E Colorado St, Unit 480b Glendale CA 9 (San Francisco) 04/16/2025 1262032 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0553 Review Of The Plan Of Care Standard
L0615 Competency Evaluation Standard
▼ B31724 St. Martin High Desert 15475 Seneca Rd, Suite A Victorville CA 9 (San Francisco) 10/22/2021 1123504 Initial
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0540 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0678 Content Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B31724 St. Martin High Desert 15475 Seneca Rd, Suite A Victorville CA 9 (San Francisco) 02/07/2025 1261559 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
L0668 Recertification Of The Terminal Illness Standard
L0676 Content Standard
▼ B31725 Hope Care Hospice, Inc. 601 E. Yorba Linda Blvd, 1-E Placentia CA 9 (San Francisco) 02/24/2022 1132846 Initial
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
▼ B31725 Hope Care Hospice, Inc. 8560 Vineyard Ave, Suite 504 Rancho Cucamonga CA 9 (San Francisco) 01/09/2025 1253195 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0545 Content Of Plan Of Care Standard
L0682 Discharge Or Transfer Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
▼ B31727 The 7c's Hospice, Inc. 190 Sierra Court, Suite # B-109 Palmdale CA 9 (San Francisco) 11/04/2021 N/A Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0725 Safety Management Standard
▼ B31728 Shepherd Hospice Inc. 14827 Ventura Blvd. Ste 226 Sherman Oaks CA 9 (San Francisco) 01/21/2022 1124018 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ B31728 Shepherd Hospice Inc 14827 Ventura Blvd ., Suite 226 Sherman Oaks CA 9 (San Francisco) 03/13/2025 N/A Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0512 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
L0533 Update 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
L0550 Content Of Plan Of Care Standard
L0551 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
L0565 Program Data Standard
L0615 Competency Evaluation Standard
L0651 Governing Body And Administrator Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0673 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B31730 Golden Sky Hospice, Inc. 7108 De Soto Ave Ste 204a Canoga Park CA 9 (San Francisco) 03/08/2022 1127102 Initial
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard