Mission Hospice
Pasadena, California · CCN 051687
2555 East Colorado Blvd Suite 301
19 federal deficiencies across 3 surveys, November 19, 2021 to June 5, 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-level15.3%
- 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-level1894.7%
- 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, TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0037EP Training Program2
- L0651Governing Body and Administrator2
- E0007EP Program Patient Population1
- E0018Procedures for Tracking of Staff and Patients1
- E0024Policies/Procedures-Volunteers and Staffing1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jun 5, 2025 | Complaint | 1 | — |
| Nov 15, 2024 | Reaccreditation | 13 | 1 |
| Nov 19, 2021 | Reaccreditation | 5 | — |
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 November 19, 2021 to June 5, 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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