Mother Theresa Hospice,Inc.
Burbank, California · CCN 751605
847 N. Hollywood Way Suite 203 B
19 federal deficiencies across 3 surveys, July 13, 2023 to January 26, 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-level421.1%
- 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-level1578.9%
- 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
- L0535Patient Outcome Measures2
- L0545Content of Plan of Care2
- L0573Performance Improvement Projects2
- L0502Notice of Rights and Responsibilities1
- L0538Idg, Care Planning, Coordination of Services1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jan 26, 2024 | Follow-Up | 3 | — |
| Aug 25, 2023 | Follow-Up | 3 | — |
| Jul 13, 2023 | Reaccreditation | 13 | 4 |
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 July 13, 2023 to January 26, 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