Acacia Hospice of Southern California, LLC
Irvine, California · CCN 921664
17780 Fitch
16 federal deficiencies across 3 surveys, January 20, 2023 to November 21, 2024.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level16100.0%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
State Agency, CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0543Plan of Care3
- L0530Content of Comprehensive Assessment2
- L0545Content of Plan of Care2
- L0548Content of Plan of Care2
- L0549Content of Plan of Care2
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Nov 21, 2024 | Complaint | 6 | — |
| Aug 15, 2024 | Complaint | 6 | — |
| Jan 20, 2023 | Reaccreditation | 4 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 12 findings in full →
CMS publishes written findings for 12 of the 16 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from January 20, 2023 to November 21, 2024. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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