Saint Mariam Hospice Services Inc
Winnetka, California · CCN B41552
19725 Sherman Way, Suite 100
13 federal deficiencies across 2 surveys, June 9, 2022 to May 30, 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-level215.4%
- 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-level1184.6%
- 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
- L0545Content of Plan of Care2
- E0039EP Testing Requirements1
- L0502Notice of Rights and Responsibilities1
- L0533Update of Comprehensive Assessment1
- L0546Content of Plan of Care1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| May 30, 2025 | Reaccreditation | 12 | 2 |
| Jun 9, 2022 | Initial | 1 | — |
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 June 9, 2022 to May 30, 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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