Heavenly Gates Hospice, Inc
Simi Valley, California · CCN 921585
1720 East Los Angeles Avenue, Suite #'S 230 & 232
29 federal deficiencies across 4 surveys, March 16, 2023 to October 31, 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-level13.4%
- 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-level2896.6%
- 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, TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0530Content of Comprehensive Assessment3
- L0531Content of Comprehensive Assessment3
- L0555Coordination of Services3
- L0503Notice of Rights and Responsibilities2
- L0516Rights of the Patient2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 31, 2024 | Complaint | 6 | — |
| Sep 23, 2024 | Complaint | 6 | — |
| May 5, 2023 | Follow-Up | 2 | — |
| Mar 16, 2023 | Reaccreditation | 15 | 1 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 23 findings in full →
CMS publishes written findings for 23 of the 29 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from March 16, 2023 to October 31, 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction