Mary, Queen of Angels Hospice
Fountain Valley, California · CCN 751738
10990 Warner Ave, Unit E
65 federal deficiencies across 3 surveys, January 23, 2023 to March 31, 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-level812.3%
- 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-level5787.7%
- 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
- L0530Content of Comprehensive Assessment3
- L0533Update of Comprehensive Assessment3
- L0543Plan of Care3
- L0545Content of Plan of Care3
- L0547Content of Plan of Care3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Mar 31, 2023 | Recertification | 11 | — |
| Mar 9, 2023 | Recertification | 26 | 4 |
| Jan 23, 2023 | Recertification | 28 | 4 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 28 findings in full →
CMS publishes written findings for 28 of the 65 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from January 23, 2023 to March 31, 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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