Free Spirit Hospice, Inc.
Simi Valley, California · CCN 921632
5924 E. Los Angeles Avenue, Suite R
31 federal deficiencies across 2 surveys, June 15, 2023 to August 1, 2023.
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-level13.2%
- 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-level3096.8%
- 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0535Patient Outcome Measures2
- L0564Program Data2
- L0575Executive Responsibilities2
- E0004Develop EP Plan, Review and Update Annually1
- E0006Plan Based on All Hazards Risk Assessment1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Aug 1, 2023 | Follow-Up | 3 | — |
| Jun 15, 2023 | Reaccreditation | 28 | 1 |
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 15, 2023 to August 1, 2023. 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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