S&C QCOR Hospice 2567s
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Hospice 2567s
Selection Criteria ▸

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
▼ B51720 Mado Hospice Inc 127 S. Brand Blvd., Suite 203 Glendale CA 9 (San Francisco) 08/30/2022 1151306 Initial
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0550 Content Of Plan Of Care Standard
▼ B51724 Ss Hospice Care, Inc. 8622 Reseda Blvd., #206 Northridge CA 9 (San Francisco) 02/10/2023 1163792 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0679 Authentication Standard
▼ B51726 First Class Hospice, Inc 8932 Reseda Blvd., Ste 203 Northridge CA 9 (San Francisco) 10/19/2022 N/A Initial
Deficiency Tag Deficiency Description Tag Type
L0615 Competency Evaluation Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B51726 First Class Hospice, Inc. 417 Arden Ave Suite 112d Glendale CA 9 (San Francisco) 03/14/2025 65936-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
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0664 Medical Director Condition
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
▼ B51728 Connecta Healthcare Services Inc 222 Mountain Ave, Suite 204 Upland CA 9 (San Francisco) 03/05/2025 6586C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0672 Content Standard
▼ B51732 24 Care Hospice 1800 Broadview Drive, Suite 261-M Glendale CA 9 (San Francisco) 02/08/2023 1163787 Initial
Deficiency Tag Deficiency Description Tag Type
L0679 Authentication Standard
▼ B51736 Ray Hospice Inc. 14120 Victory Blvd, #103 Van Nuys CA 9 (San Francisco) 08/17/2023 1185183 Initial
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
L0550 Content Of Plan Of Care Standard
▼ B51737 Sheldon Hospice 19531 Ventura Blvd #10 Tarzana CA 9 (San Francisco) 04/03/2025 1264145 Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
▼ B51741 Fortuna Hospice Inc 735 W. Duarte Rd., Ste. 203 Arcadia CA 9 (San Francisco) 08/18/2023 1183789 Initial
Deficiency Tag Deficiency Description Tag Type
L0528 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
▼ B51745 Exceptional Hospice Care 818 N. Mountain Ave., Ste 103 Upland CA 9 (San Francisco) 04/05/2023 1169073 Initial
Deficiency Tag Deficiency Description Tag Type
L0555 Coordination Of Services Standard