S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

Time Interval

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Note: Hospice 2567s data begin starting October 2021.

Provider Characteristics

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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
B41767 Holding Hands Hospice 3169 Barbara Court, Ste F Los Angeles CA 9 (San Francisco) 05/22/2025 1264980 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0552 Review Of The Plan Of Care Standard
L0596 Counseling Services Standard
L0615 Competency Evaluation Standard
B41768 Hope & Peace Hospice 6257 Van Nuys Blvd., Suite D Van Nuys CA 9 (San Francisco) 08/07/2024 1240890 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0535 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0546 Content Of Plan Of Care Standard
L0547 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
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0655 Professional Management Responsibility Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
L0795 Criminal Background Checks Standard
B41769 Lifestyle Hospice, Inc 2600 Foothill Blvd, Ste 110 La Crescenta CA 9 (San Francisco) 10/27/2022 1156641 Initial
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
L0679 Authentication Standard
B41770 Top Line Hospice Care, Inc 22024 Lassen St, Ste 112 Chatsworth CA 9 (San Francisco) 07/08/2025 1271040 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0681 Retention Of Records Standard
B41771 Saint Maryam Hospice Care 12500 Riverside Drive Unit 201e Valley Village CA 9 (San Francisco) 06/07/2022 1137046 Initial
Deficiency Tag Deficiency Description Tag Type
L0900 Covid-19 Vaccination Of Facility Staff Standard
B41771 Saint Maryam Hospice Care 12500 Riverside Drive, Unit 201 E Valley Village CA 9 (San Francisco) 07/02/2025 1271041 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0678 Content Standard
L0684 Discharge Or Transfer Of Care Standard
B41772 N S Hospice, Inc 14550 Archwood St Suite 103 Van Nuys CA 9 (San Francisco) 04/12/2024 62BC2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0502 Notice Of Rights And Responsibilities Standard
L0519 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0522 Initial Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0543 Plan Of Care Standard
L0664 Medical Director Condition
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0680 Protection Of Information Standard
L0684 Discharge Or Transfer Of Care Standard
L0797 Federal, State, Local Laws & Regulations Standard
B41772 N S Hospice, Inc 14550 Archwood St Suite 103 Van Nuys CA 9 (San Francisco) 09/26/2024 62BC2-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0544 Plan Of Care Standard
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0678 Content Standard
L0684 Discharge Or Transfer Of Care Standard
B41772 N S Hospice, Inc 14550 Archwood St Suite 103 Van Nuys CA 9 (San Francisco) 01/08/2025 62BC2-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0525 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0668 Recertification Of The Terminal Illness Standard
L0669 Medical Director Responsibility Standard
L0670 Clinical Records Condition
L0672 Content Standard
L0678 Content Standard
L0684 Discharge Or Transfer Of Care Standard
B41774 Premiere Hospice And Palliative Care, Inc. 18645 Sherman Way, Suite 106 Reseda CA 9 (San Francisco) 08/06/2025 1272674 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard