Saint Montserrat Hospice Care, Inc
Burbank, California · CCN 751590
523 N Glenoaks Blvd
92 federal deficiencies across 6 surveys, September 14, 2023 to July 10, 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-level1718.5%
- 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-level7581.5%
- 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, ACHC, TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0536Idg, Care Planning, Coordination of Services4
- L0520Initial & Comprehensive Assessment of Patient3
- L0564Program Data3
- L0572Performance Improvement Projects3
- L0579Prevention3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jul 10, 2025 | Recertification | 20 | 5 |
| May 19, 2025 | Recertification | 16 | 4 |
| Apr 29, 2025 | Initial with CCN Follow-Up | 5 | — |
| Mar 19, 2025 | Initial with CCN | 25 | 6 |
| Oct 27, 2023 | Follow-Up | 2 | — |
| Sep 14, 2023 | Reaccreditation | 24 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 75 findings in full →
CMS publishes written findings for 75 of the 92 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from September 14, 2023 to July 10, 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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