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
B51547 Victory Place Hospice Inc 14618 Victory Blvd., Suite A Van Nuys CA 9 (San Francisco) 11/08/2022 1156869 Initial
Deficiency Tag Deficiency Description Tag Type
E0032 Primary/Alternate Means For Communication Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0663 Training Standard
B51550 Silver Palm Hospice, Inc 3130 Foothill Blvd., Ste 5 La Crescenta CA 9 (San Francisco) 10/14/2022 1155171 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0594 Medical Social Services Standard
B51550 Silver Palm Hospice, Inc. 10600 Sepulveda Blvd Suite 101 Mission Hills CA 9 (San Francisco) 11/09/2023 6173B-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
L0531 Content Of Comprehensive Assessment Standard
L0532 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0643 Training Standard
L0644 Role Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0652 Services Standard
L0663 Training Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
B51551 Real Care Hospice Inc. 14545 Friar St., Ste 159 Van Nuys CA 9 (San Francisco) 08/09/2022 1155274 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0784 Personnel Qualification Standard
B51553 Caring And Wellness Hospice Care, Inc 1112 1/2 N Pacific Avenue Glendale CA 9 (San Francisco) 08/27/2025 1273435 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
B51554 Golden Road Hospice Inc. 11490 Burbank Blvd., Ste 2d North Hollywood CA 9 (San Francisco) 11/16/2022 1156978 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0615 Competency Evaluation Standard
L0679 Authentication Standard
B51555 Pure Comfort Hospice Care Inc 5658 Sepulveda Blvd, Suite 213 Van Nuys CA 9 (San Francisco) 08/30/2022 1151305 Initial
Deficiency Tag Deficiency Description Tag Type
L0653 Services Standard
B51559 Mimas Hospice And Palliative Care, Inc. 3171 Los Feliz Blvd., Ste. 303-E Los Angeles CA 9 (San Francisco) 07/08/2022 1141889 Initial
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
B51560 New Hope Hospice Care 12444 Victory Blvd, Ste. 408 N Hollywood CA 9 (San Francisco) 10/06/2022 1154099 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0615 Competency Evaluation Standard
L0661 Training Standard
L0663 Training Standard
B51564 Shaid Hospice, Inc. 12501 Chandler Blvd, Suite 103 Valley Village CA 9 (San Francisco) 09/22/2022 1153751 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard