Kairos Hospice, Inc.
Glendora, California · CCN 751598
161 W Arrow Hwy
24 federal deficiencies across 2 surveys, June 14, 2022 to August 8, 2022.
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-level833.3%
- 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-level1666.7%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0004Develop EP Plan, Review and Update Annually2
- L0536Idg, Care Planning, Coordination of Services2
- L0538Idg, Care Planning, Coordination of Services2
- L0543Plan of Care2
- L0552Review of the Plan of Care2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Aug 8, 2022 | Recertification | 12 | 4 |
| Jun 14, 2022 | Recertification | 12 | 4 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 12 findings in full →
CMS publishes written findings for 12 of the 24 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from June 14, 2022 to August 8, 2022. 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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