Amazing Grace Hospice, Inc
Hesperia, California · CCN A01616
9892 I Avenue, Suite 5
13 federal deficiencies across 2 surveys, June 21, 2022 to October 30, 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
- Condition-level323.1%
- The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
- Standard-level1076.9%
- 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, ACHC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0667Initial Certification of Terminal Illness2
- L0523Timeframe for Completion of Assessment1
- L0549Content of Plan of Care1
- L0587Core Services1
- L0591Nursing Services1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 30, 2024 | Complaint | 7 | 3 |
| Jun 21, 2022 | Reaccreditation | 6 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from June 21, 2022 to October 30, 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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