Kaiser Foundation Hospital Los Angeles - Hospice
A hospice in Pasadena, California 91103
74 N Pasadena Ave Floor 6, Pasadena, California 91103. (323) 783-7416.
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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.
- 3 deficiencies cited in the last three years
- 2of 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?
3 deficiencies cited in the last three years
The middle of the 146 hospices serving ZIP code 91103 had 5.
The last inspection on record was on Jul 19, 2024: an initial 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
3 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 19, 2024: initial inspection by The Joint Commission3 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 1 patient records reviewed, the organization did not ensure the patient’s right to elect and revoke hospice care in accordance with Medicare hospice regulations. In HOS RRDC#2, it was noted that although the organization had a clear revocation process, the documentation of the patient’s signed revocation could not be found. This was reviewed and verified with the Hospice Director of Patient Care Services”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 103 words
“Observed in Record Review. In 1 of 14 patient records reviewed, the plan of care did not include all services needed for the palliation and management of the terminal illness and related conditions, including interventions to manage pain/symptoms. In HOS RRNHV#2, it was documented by the RN that home oxygen was provided to the patient upon admission to hospice. There was no oxygen order included in the patient’s plan of care until two (2) months later when it was documented the patient was on continuous oxygen 1 liter per nasal cannula. This was reveiwed and verified with the Director of Patient Care Services.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 162 words
“Observed in Record Review. In 3 of 9 patient records reviewed, the registered nurse responsible for the hospice aide supervision did not prepare written patient care instructions for the hospice aide. In HOS RRHV#3, the aide care plan indicated the hospice aide was to remove the oxygen during the shower/bath. The patient was not on home oxygen per the hospice plan of care. In HOS RRHV#4, the aide plan of care indicated the hospice aide was to document the patient’s refusal to use assistive devices but did not specify what assistive devices the patient used or was in the home. In HOS RRNHV#2, the patient was on oxygen 1 liter per nasal cannula continuously, with an immediate drop in O2 saturation to 88% when the oxygen was removed as documented by the RN. There was no instructions on the aide plan of care related to the patient’s home oxygen. This was reveiwed and verified with the Hospice Director of Patient Care Services.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 19, 2024 | Initial inspection by The Joint Commission | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 2, 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): 15.8 nurse care minutes per routine home care day, 10.2% of skilled nursing minutes at weekends and a visit near death for 80.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 99% at home, 1% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.8 min |
| Skilled nursing minutes at weekends | 10.2% |
| Visits near death | 80.1% of patients who died |
Who owns it?
- Kaiser Foundation Hospitals runs it.
- 21 owners or officers are people: David J Barger (corporate director); Margaret E Porfido (corporate director); Jenny Ming (corporate director); Richard P Shannon (corporate director); Regina M Benjamin (corporate director); Judith A Johansen (corporate director); Douglas A Lemieux (managing employee (on the payroll)); David F Hoffmeister (corporate director); Arnold Eugene Washington (corporate director); Ines Gaeta (runs it (operational or managerial control)); Julie Kim Miller-Phipps (runs it (operational or managerial control)); William N Grice (corporate officer); William N Grice (managing employee (on the payroll)); William N Grice (runs it (operational or managerial control)); Jeffrey E Epstein (corporate director); Teresa Ramirez (managing employee (on the payroll)); Ramon F Baez (corporate director); Gregory A Adams (corporate officer); Gregory A Adams (corporate director); Matthew T Ryan (corporate director); Leslie S Heisz (corporate director).
- 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 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 75% rated it 9 or 10 out of 10, and 70% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 87.28% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 33% 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 | 2 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 146 hospices CMS’s data show serving patients in ZIP code 91103, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 3.
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 |
|---|---|
| Kaiser Foundation Hospital Los Angeles - Hospice This hospice | 3 |
| Mission Hospice | 15 |
| Faith & Hope Hospice Care, Inc. | 6 |
| Five Star Home Hospice | 3 |
| Roze Room Hospice of San Gabriel Valley | 7 |
| St. Arsenius Hospice Care, Inc. | 3 |
| St Vincent Hospice Services, Inc. | 5 |
| Maximum Hospice and Palliative Care, Inc. | 14 |
| Tender Loving Hospice Care, Inc. | Not given |
| Hospice and Palliative Care of California, Inc. | 41 |
| Heartful Hospice Care, Inc. | 3 |
| Lz Hospice Care Inc. | 2 |
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.