Golden Time Hospice, Inc
Santa Clarita, California · CCN B21684
24355 Lyons Ave Suite 235
50 federal deficiencies across 4 surveys, July 25, 2024 to October 3, 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-level918.0%
- 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-level4182.0%
- 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, ACHC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0523Timeframe for Completion of Assessment3
- L0530Content of Comprehensive Assessment3
- L0536Idg, Care Planning, Coordination of Services3
- L0549Content of Plan of Care3
- L0520Initial & Comprehensive Assessment of Patient2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 3, 2025 | Complaint | 12 | 3 |
| Aug 14, 2025 | Complaint | 12 | 3 |
| Sep 12, 2024 | Follow-Up | 1 | — |
| Jul 25, 2024 | Reaccreditation | 25 | 3 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 37 findings in full →
CMS publishes written findings for 37 of the 50 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from July 25, 2024 to October 3, 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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