Universal Health Net
Orange, California · CCN 921558
500 N State College Blvd
149 federal deficiencies across 6 surveys, September 9, 2022 to February 2, 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-level128.1%
- 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-level13791.9%
- 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
State Agency, TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0545Content of Plan of Care6
- L0651Governing Body and Administrator5
- L0663Training5
- E0006Plan Based on All Hazards Risk Assessment4
- E0007EP Program Patient Population4
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Feb 2, 2024 | Recertification | 9 | — |
| Jan 18, 2024 | Recertification | 45 | 4 |
| Nov 30, 2023 | Recertification | 45 | 4 |
| Feb 23, 2023 | Follow-Up | 9 | — |
| Nov 15, 2022 | Follow-Up | 2 | — |
| Sep 9, 2022 | Reaccreditation | 39 | 4 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 95 findings in full →
CMS publishes written findings for 95 of the 149 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from September 9, 2022 to February 2, 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