By the Bay Health
A hospice in San Francisco, California 94102
180 Redwood Street, Suite 350, San Francisco, California 94102. (415) 626-5900.
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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.
- 8 deficiencies cited in the last three years
- 3of 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?
8 deficiencies cited in the last three years
The middle of the 26 hospices serving ZIP code 94102 had 4.
The last inspection on record was on Sep 20, 2024: 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
8 deficiencies in 1 month of the last 36. Last cited Sep 2024. 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 20, 2024: reaccreditation inspection by The Joint Commission8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of 20 patient records reviewed, the Hospice Nurse Surveyor noted in HOS RRNHV 16, an initial bereavement assessment had not been documented as completed. This was validated with the QAPI director and Director of Hospice.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 169 words
“Observed in Record Review. In 3 of 20 patient records reviewed, In 3 of 20 patient records reviewed, the Hospice Nurse Surveyor noted the plan of care goals had not reflected the ongoing patient needs. In discussion with the HCO, they had been resolving the goals after patient/care giver education in the short term, rather than keeping active as a long term goal. For example, in HOS RRHV 1, the patient had pain control as an initial problem. The HCO had evaluated and educated on pain then resolved it. This removed the pain goal from the active list and it did not appear on the active plan of care. In HOS RRNHV 10, the patient had a glioblastoma, the POC goals that had been ‘resolved’ and removed were seizures and pain. In HOS RRNHV 12, the Medical Social Worker (MSW) had resolved all of the goals specific to her care even though they were ongoing for the patient. This was validated with the QAPI Director the Director of Hospice.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 216 words
“Observed in Record Review. In 1 of 20 patient records reviewed, the Hospice Nurse Surveyor noted not all patient issues identified on the initial assessment had been on the patient plan of care (POC). For example, in HOS RRNHV 10, the patient had pain and seizure risk related to a glioblastoma; however, these had not been included on the POC. This was validated with the QAPI Director and Director of Hospice. Observed in Record Review. In 5 of 20 patient records reviewed, the Hospice Nurse Surveyor noted patient medication orders in the electronic medical record that had been incomplete. In HORRHV 6, the patient had ketoconazole 2% cream, Lidocaine 5% patch, Neosporin and diclofenac 1% gel all written to ‘apply to affected area’ without specific site of application. In HOS RRNHV 8 the patient had voltarin 1% cream ordered to ‘apply to affected area’. In HOS RRNHV 10, the patient had an ostomy and the orders for as needed visits related to the appliance dressing change had ‘TBD’ rather than a clinical indication for the visit. HOS RRNHV 14, the patient had Nystatin Powder with orders to apply to affected area. In HOS RRNHV 16, the patient had a Lidocaine patch ordered to ‘apply to affected area’. This was validated with the Director of Hospice. 
”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 183 words
“Observed in Record Review. In 2 of 20 patient records reviewed, the Hospice Nurse Surveyor noted that care had not been provided according to the hospice plan of care (POC). For example, in HOS RRHV 1, the patient had orders for a Spiritual Care visit 1 to 3 times monthly; however, there had not been a documented visit in the month of August 2024. In HOS RRNHV 7, the patient had an order for Medical Social Worker to visit 1-3 times per month. There had not been a documented visit in the month of November and December 2023 and there had been no documentation to support a missed visit nor communication with the physician. The patient had also had orders for the Spiritual Care Provider to visit 1-3 times per month, but there had been no documented visits in: November, December, January, March, April, May, June and July. There were no communication notes that the visits had been missed nor that there had been physician contact. This was validated with the QAPI Director and Director of Hospice present during the record reviews. 

”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
“Observed in Patient Home. In 1 of 6 home visits conducted, the Hospice Nurse Surveyor noted the Hospice Aide (HA) plan of care (POC) had not included all activities to be performed during the care of the patient. For example, HORRHV 6, the patient was on continuous home Oxygen at 2 liters per minute via nasal cannula. The HA had been observed removing the patient’s Oxygen during care and then replacing once the care had been completed. This was validated with the Director of Hospice.”
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Recruiting and retaining (42 CFR 418.78(c))
The inspectors’ words, 131 words
“Observed in Tracer Activities. Although the volunteer coordinator stated that initiatives had been put in place to recruit new volunteers, the hospice deemed status pharmacy surveyor noted in the six months since the coordinator had assumed this role there was no consistent documentation to support this statement. For example the number of active volunteers had dropped from 24 in March of 2024 to 21 in July of 2024, Many efforts were in the planning stages at the time of the survey, but firm times for follow-up on organizations previously contacted or those new for contact were being discussed, but documentation of actively recruiting those discussed was not available at the time of the survey. This omission was validated with the volunteer coordinator and Hospice management at the time of the survey.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 115 words
“Observed in Tracer Activities. During a review of the volunteer program with the volunteer coordinator, the Hospice deemed status pharmacy surveyor noted that the volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff in 2023 and 2024 to date. as required. Currently the volunteer staff provided only an average of 3.01% of these hours during a twelve month period. From July 2023 to July 2024. The only months in this period meeting the 5% requirement were March 2024 with 5.31% and April 2024 with 5.62% respectively. This deficiency was validated with the volunteer coordinator and Hospice management at the time of the survey.

”
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Label dispose storage drugs (42 CFR 418.106(e)(1))
“Observed in Patient Home. In 1 of 7 home visits conducted, The Hospice Nurse Surveyor observed the clinician in HORRHV 2 altering patients prescription labels with a permanent marker in the patient home. This was validated with the Director of Hospice present during the visit.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 20, 2024 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 22, 1987.
- Ownership: for-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, 8.1% of skilled nursing minutes at weekends and a visit near death for 84.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 70% at home, 25% in assisted living, 4% in a nursing facility, 1% in a hospital.
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 | 8.1% |
| Visits near death | 84.9% of patients who died |
Who owns it?
- 38 owners or officers are people: Shelby D Decosta-Galdeira (corporate director); Stacy A Blanchard (corporate director); Armika J Berkley (corporate director); Helen L Abe (corporate director); Gerald R Peters (corporate director); Peter Bussi (corporate officer); Lisa J Burleson (managing employee (on the payroll)); Robertina K Szolarova (corporate officer); Jo Ellen Hylind (corporate director); Swaminathan Jayaraman (corporate director); Leslie Hassan-Seidman (managing employee (on the payroll)); Fred Sanciangco (corporate director); Gregory A Leclaire (corporate director); Amira K. S. Barger (corporate director); Kenneth G Meislin (corporate director); Michelle S Mourad (corporate director); Tracy A Hogan (corporate director); James T Kelly (corporate officer); James T Kelly (managing employee (on the payroll)); Catherine Jamentz (corporate director); Wendy C Chow (corporate director); Skelly Wingard (corporate officer); Skelly Wingard (corporate director); Skelly Wingard (managing employee (on the payroll)); Scott T Smith (corporate director); Jeff Gerard (corporate director); Steven Z Pantilat (corporate director); Kaija-Leena Romero (managing employee (under contract)); Kaija-Leena Romero (corporate officer); Kaija-Leena Romero (managing employee (on the payroll)); Daniel E Cohn (corporate director); Mukund Acharya (corporate director); Robert J Simon (corporate officer); Robert J Simon (corporate director); Wendy Gaye Ranzau (corporate officer); Michael A Kadel (corporate officer); Michael A Kadel (corporate director); Julie A Smith (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.
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.27% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 31% 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 | 3 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 26 hospices CMS’s data show serving patients in ZIP code 94102, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 8.
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 |
|---|---|
| By the Bay Health This hospice | 8 |
| Sutter Care at Home | 0 |
| Kaiser Foundation Hospital Hospice-San Francisco | 0 |
| Self-Help Home Care & Hospice | 10 |
| Crossroads Home Health & Hospice | 7 |
| Health Link Hospice | 2 |
| Pathways Home Health and Hospice | 4 |
| Mission Hospice & Home Care, Inc. | 8 |
| Vitas Healthcare Corporation of California | 1 |
| Asian Network Hospice, Inc. | Not given |
| Sutter Care at Home | 2 |
| Suncrest Hospice | 4 |
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.