Hospice of the Central Coast
A hospice in Monterey, California 93940
30 Ryan Court, Suite 250, Monterey, California 93940. (831) 658-3737.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 5 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
5 deficiencies cited in the last three years
The middle of the 7 hospices serving ZIP code 93940 had 6.5.
The last inspection on record was on Sep 19, 2025: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
5 deficiencies in 1 month of the last 36. Last cited Sep 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Sep 19, 2025: reaccreditation inspection by The Joint Commission5 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. On 1 of 3 bereaved records reviewed, the organization did not complete and initial bereavement risk. Agency policy is that an initial will be done within 5 days of admission. On RRBR #2, it was noted that an initial bereavement assessment was not completed and the only risk assessment done was 3 months after the patient passed away. This finding was reviewed with Hospice leaders.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 187 words
“Observed in Record Review. In 5 of 14 active patient records reviewed, the organization failed to update the plan of care. On RRHV #1, it was noted that there has been changes to the patient’s wounds but the plan of care had not been updated to reflect the progress of the wounds and changes to the wound orders. On RRHV #4, it was noted that the patient has been assessed itching and increased confusion and the care plan has not been updated to reflect these changes based on assessment. On RRNHV #2, it was noted that patients had been started on nightly Ativan dose due to patient’s anxiety but those changes in patient condition were not reflected on the plan of care. On RRNHV #4, it was noted that goals had not been updated to reflect changes, patient had symptoms of cough and congestion that was being treated with cough syrup that were not on the plan of care. On RRNHV #8, it was noted that teaching goals for safe environment had not been updated since admission 3 months ago. This finding was reviewed with Hospice Leadership.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Patient Home. In 1 of 4 home visits conducted, the organization did not provide care or treatment according to the patient’s individualized plan of care. On RRHV #1, it was observed during the home visit that the nurse did not follow the orders for wound care and applied Calcium Alginate to the wound and it was not ordered on the plan of care. This finding was reviewed with Hospice Leadership.”
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Quality assessment & performance improvement (42 CFR 418.58)
“Observed in Data Session. The organizations quality assessment and performance improvement program (QAPI) did not include indicators that are related to improved palliative outcomes. This finding was discussed with the QAPI leaders present at the time of the survey.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 204 words
“Observed in Record Review. In 3 out of 14 active records reviewed, the organization failed to ensure the medical record contained information to accurately reflect the patient’s care, treatment, and services. Agency policy is that medications will be updated each visit as needed to reflect current medications and discontinue medications no longer ordered. During the home observation for RRHV#2 the medication list in the home had not been updated to reflect new medications that had been added since admission a month ago. In addition, the home list had written that the patient may take melatonin as needed but the medical record did not reflect Melatonin. On interview with the paid caregiver, she stated the night caregiver would give Melatonin and showed me the bottle that was with patient’s other medications. During RRHV#4 there was no evidence in the home of the medication list and on interview with the daughter she stated they talk medications but there was no list in her book, and she didn’t remember one given. On RRNHV #2, it was noted in nursing notes that the physician gave an order for nightly Ativan, but this had not been updated on the medication profile. These observations were reviewed with the hospice leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 19, 2025 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 1, 1983.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 11.2 nurse care minutes per routine home care day, 18.2% of skilled nursing minutes at weekends and a visit near death for 88.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 68% at home, 19% in assisted living, 12% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.2 min |
| Skilled nursing minutes at weekends | 18.2% |
| Visits near death | 88.2% of patients who died |
Who owns it?
- Montage Health owns 100% directly since Nov 17, 2021.
- 28 owners or officers are people: Matthew M Morgan (corporate officer); Matthew M Morgan (managing employee (on the payroll)); Ryan Edwards (corporate director); Steven Cabrales (managing employee (on the payroll)); Randall Charles (corporate director); Margorie Wiest (corporate director); Casey Andrew Grover (corporate director); Daniel Chibaya (managing employee (on the payroll)); Susan D Swick (corporate officer); Susan D Swick (managing employee (on the payroll)); Greg Smorzewski (corporate officer); Greg Smorzewski (managing employee (on the payroll)); Geneva T Stewart (managing employee (on the payroll)); Martha L Blum (corporate director); Carrie Mcintyer Panetta (corporate director); Marian Hahn (corporate director); William Warner (corporate director); Luis Alvarez (corporate director); Patrick Burke (corporate director); Edgar Stanton Mckee (corporate director); Kiran Kamath (corporate director); James Cummings (corporate director); John O’brien (corporate director); Deborah Sober (managing employee (on the payroll)); Leslie Higgins (corporate director); Kevin Mahoney (corporate director); Steven J Packer (corporate director); Steven J Packer (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Montage Health | Owns 5% or more directly | 100% | Nov 17, 2021 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 94.41% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 50.2% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 7 hospices CMS’s data show serving patients in ZIP code 93940, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 5.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Hospice of the Central Coast This hospice | 5 |
| Universal Health Net Monterey, Inc. | 3 |
| Central Coast VNA & Hospice, Inc. | Not given |
| Continuum Care Hospice LLC | 7 |
| Bonita Springs Hospice Care LLC | 6 |
| Bridge Hospice | 22 |
| Home Connect Hospice, LLC | 10 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.