Definitive Hospice Care
Orange, California · CCN B31512
1122 E. Lincoln Ave., Suite B400a
30 federal deficiencies across 5 surveys, December 21, 2021 to January 10, 2025.
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-level13.3%
- 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-level2996.7%
- 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
ACHC, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0547Content of Plan of Care3
- L0543Plan of Care2
- L0548Content of Plan of Care2
- L0591Nursing Services2
- L0679Authentication2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jan 10, 2025 | Reaccreditation | 3 | — |
| Aug 9, 2024 | Complaint | 4 | — |
| Jul 30, 2024 | Complaint | 4 | — |
| Jun 17, 2024 | Complaint | 17 | 1 |
| Dec 21, 2021 | Initial | 2 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 26 findings in full →
CMS publishes written findings for 26 of the 30 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from December 21, 2021 to January 10, 2025. 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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