St. Mariam Hospice Care Inc.
Redlands, California · CCN B31607
2068 Orange Tree Ln Ste 222
22 federal deficiencies across 2 surveys, October 22, 2021 to October 17, 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-level14.5%
- 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-level2195.5%
- 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0546Content of Plan of Care2
- E0006Plan Based on All Hazards Risk Assessment1
- E0007EP Program Patient Population1
- L0531Content of Comprehensive Assessment1
- L0533Update of Comprehensive Assessment1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 17, 2024 | Reaccreditation | 15 | 1 |
| Oct 22, 2021 | Initial | 7 | — |
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 October 22, 2021 to October 17, 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.
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