Melrose Healthcare Group
Tujunga, California · CCN A11622
7730 Foothill Blvd
15 federal deficiencies across 1 survey, September 21, 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-level320.0%
- 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-level1280.0%
- 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0505Exercise of Rights/Respect for Proprty/Person1
- L0531Content of Comprehensive Assessment1
- L0547Content of Plan of Care1
- L0579Prevention1
- L0615Competency Evaluation1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 21, 2023 | Reaccreditation | 15 | 3 |
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 September 21, 2023 to September 21, 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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