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
▼ B41730 Aventus Hospice, Inc 4425 W Riverside Dr. Suite 203 Burbank CA 9 (San Francisco) 12/01/2023 61A19-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0530 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0587 Core Services Condition
L0598 Counseling Services Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
▼ B41733 Old Is Gold Hospice Care, Inc. 18747 Sherman Way, Suite 104 Reseda CA 9 (San Francisco) 09/29/2022 1153919 Initial
Deficiency Tag Deficiency Description Tag Type
L0503 Notice Of Rights And Responsibilities Standard
L0795 Criminal Background Checks Standard
▼ B41735 Integrity Hospice, Inc 3017 N. San Fernando Blvd C Burbank CA 9 (San Francisco) 09/15/2022 1151687 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0679 Authentication Standard
▼ B41736 Infinite Life, Inc 5958 Vineland Ave, Suite L-2 North Hollywood CA 9 (San Francisco) 08/02/2024 1237978 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0679 Authentication Standard
▼ B41738 Aim Hospice Inc 9778 Katella Ave, Suite 202 Anaheim CA 9 (San Francisco) 08/25/2022 1151334 Initial
Deficiency Tag Deficiency Description Tag Type
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
L0530 Content Of Comprehensive Assessment Standard
L0579 Prevention Standard
L0666 Medical Director Contract Standard
L0673 Content Standard
L0677 Content Standard
L0681 Retention Of Records Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B41738 Aim Hospice Inc 9778 Katella Ave, Suite 202 Anaheim CA 9 (San Francisco) 08/25/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0024 Policies/Procedures-Volunteers And Staffing Standard
E0025 Arrangement With Other Facilities Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0666 Medical Director Contract Standard
L0673 Content Standard
L0677 Content Standard
L0681 Retention Of Records Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B41739 A And S Hospice Palliative Care, Inc. 1425 W Burbank Blvd., Suite J Burbank CA 9 (San Francisco) 05/23/2025 1265002 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0523 Timeframe For Completion Of 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
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 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
L0668 Recertification Of The Terminal Illness Standard
L0679 Authentication Standard
▼ B41741 Pure Bliss Hospice Care Inc. 13527 Ventura Blvd Suite A Sherman Oaks CA 9 (San Francisco) 06/17/2022 1137167 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
▼ B41741 Pure Bliss Hospice Care Inc 6355 Topanga Canyon Blvd, Ste 355 Woodland Hills CA 9 (San Francisco) 01/12/2024 1211195 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0515 Rights Of The Patient Standard
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0547 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
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0673 Content Standard
L0679 Authentication Standard
▼ B41742 American Prime Healthcare, Inc. 2180 Harvard Street, Suite 330 Sacramento CA 9 (San Francisco) 09/06/2023 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0565 Program Data Standard
L0576 Executive Responsibilities Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0663 Training Standard
L0679 Authentication Standard