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

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
B51653 Bellerose Hospice Care Inc 26893 Bouquet Canyon Rd Suite L Santa Clarita CA 9 (San Francisco) 07/17/2025 1D0DAF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0670 Clinical Records Condition
L0677 Content Standard
L0679 Authentication Standard
L0680 Protection Of Information Standard
B51653 Bellerose Hospice Care Inc 26893 Bouquet Canyon Rd., Suite L Santa Clarita CA 9 (San Francisco) 07/30/2025 1272763 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content 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
L0629 Supervision Of Hospice Aides Standard
L0685 Retrieval Of Clinical Records Standard
B51654 Hope & Mercy Hospice Care Inc 4959 Palo Verde Street Montclair CA 9 (San Francisco) 04/10/2025 65CDC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0591 Nursing Services Standard
B51656 All State Hospice Care, Inc. 45 W Easy Street, Suite 21 Simi Valley CA 9 (San Francisco) 03/21/2025 1258403 Initial with CCN
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
B51657 Valley Side Hospice Inc 14120 Victory Blvd, #102 Van Nuys CA 9 (San Francisco) 03/19/2024 N/A Not Available
Deficiency Tag Deficiency Description Tag Type
L0544 Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
B51658 Caring Hands Hospice Care, Inc 818 W Cameron Avenue West Covina CA 9 (San Francisco) 09/22/2022 1155067 Initial
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
B51659 Safe Haven Hospice Inc 400 N Mountain Ave Suite 123f Upland CA 9 (San Francisco) 04/07/2022 1134077 Initial
Deficiency Tag Deficiency Description Tag Type
L0502 Notice Of Rights And Responsibilities Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard
L0625 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
B51659 Appling Hospice Care 400 N Mountain Ave Suite 233 Upland CA 9 (San Francisco) 06/27/2025 1267815 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0581 Control Standard
L0625 Hospice Aide Assignments And Duties Standard
L0647 Level Of Activity Standard
B51661 Flintridge Hospice Care Inc 2600 Foothill Blvd., Ste 113 La Crescenta CA 9 (San Francisco) 09/28/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0796 Criminal Background Checks Standard
B51661 Valley Star Hospice, Inc 3130 Foothill Blvd., Unit 13 La Crescenta CA 9 (San Francisco) 04/05/2023 1169072 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard