St. Francis Hospice Care, Inc
Rancho Cucamonga, California · CCN 921667
10970 Arrow Route, Suite 204
56 federal deficiencies across 5 surveys, May 18, 2023 to January 23, 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-level1526.8%
- 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-level4173.2%
- 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
- L0523Timeframe for Completion of Assessment5
- L0552Review of the Plan of Care4
- L0651Governing Body and Administrator4
- L0533Update of Comprehensive Assessment3
- L0545Content of Plan of Care3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jan 23, 2025 | Complaint | 13 | 4 |
| Dec 10, 2024 | Complaint | 12 | 4 |
| Aug 4, 2023 | Follow-Up | 3 | — |
| Jun 30, 2023 | Follow-Up | 9 | 5 |
| May 18, 2023 | Reaccreditation | 19 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 44 findings in full →
CMS publishes written findings for 44 of the 56 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from May 18, 2023 to January 23, 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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