Vnacare
A hospice in Murrieta, California 92562
25220 Hancock Ave, Suite 100, Murrieta, California 92562. (951) 658-9288.
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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.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 116 hospices serving ZIP code 92562 had 7.
The last inspection on record was on May 9, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
6 deficiencies in 1 month of the last 36. Last cited May 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.
May 9, 2024: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 163 words
“Upon patient record review and direct observation during home visits, 4 of 19 (Patient #1, 7, 10, 12) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy Patient 1: The patient’s oxygen did not appear on the medication list. (corrected onsite) Patient: 7: The medication list indicated 8 hour pain reliever 650mg ER 1 tab po q 12 hrs PRN mild/moderate pain. This is an invalid medication entry as it does not specify a drug name, and subsequently drug efficacy and safety checks (such as side effects and interactions) cannot be performed. (corrected onsite) Patients 10, 12: The medication list indicated Miralax for PRN use, but did not contain instructions for reconstitution of this powdered medication. (corrected onsite)”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 147 words
“Upon patient record review, 1 of 19 (Patient #8) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 8: During the initial comprehensive assessment, it was identified that the patient requires a pureed diet with thickened liquids. It was also noted that this ALF resident requires assistance with ADLS, including feeding. However, no care plan was developed at that time or subsequently to address the patient’s aspiration risk status to ensure while feeding. Of note, the admitting SN does note that the patient is an aspiration risk. (corrected onsite)”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 141 words
“Upon patient record review, 3 of 19 (Patient #5, 6, 7) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patients 5, 6: Patients utilize an indwelling Foley catheter for management of their terminal illness. However, the care plans were incomplete in that they did not contain evidence of the size of the Foley catheter, the balloon size, or the frequency of the catheter change. (corrected onsite) Patient: 7: The plan of care indicated 8 hour pain reliever 650mg ER 1 tab po q 12 hrs PRN mild/moderate pain. This is an invalid medication order as it does not specify a drug name, and subsequently drug efficacy and safety checks (such as side effects and interactions) cannot be performed. (corrected onsite)”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 19 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: The plan of care indicates that the MSW will provide services 1 x monthly; however, there was no evidence that the MSW provided a visit during April 2024.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 163 words
“Upon patient record review, 15 of 19 (Patient #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 18, 19) did not have evidence in the patient record that hospice aide assignments and duties are: • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patients #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 18, 19: The hospice aides assignments indicated the frequency of the hospice aide visits to the patients homes, but did not indicate the frequency for each task to be performed by the aide. This was noted to be a process error for all records examined with a hospice aide assigned. (corrected onsite via the writing and implementation of a local policy)”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 91 words
“Upon patient record review 1 of 19 (Patient #3) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 3: The plan of care indicates that the HA will provide services 2 x weekly; however, during the week of 04.07.2024, there was only evidence of 1 HA visit performed on 04.07.2024.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 9, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 14, 1987.
- 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): 14.1 nurse care minutes per routine home care day, 11.2% of skilled nursing minutes at weekends and a visit near death for 96.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 48% at home, 47% in assisted living, 4% in a nursing facility, 2% 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 | 14.1 min |
| Skilled nursing minutes at weekends | 11.2% |
| Visits near death | 96.3% of patients who died |
Who owns it?
- 23 owners or officers are people: Paula J Natale (corporate officer, 100%); Rose Nogueira (managing employee (on the payroll), 50%); Cindy P Cameron (corporate officer, 50%); Patricia Mcbee (managing employee (on the payroll), 20%); Jillann Reis (managing employee (on the payroll), 10%); Susan J Nuss (corporate director, 6%); Paula Pachon (corporate director, 5%); Shirley A Turner (corporate director, 5%); Layne A Bartholomew (corporate director, 5%); Karen J Urfer (corporate director, 5%); Sanyasi Rao Ganta (managing employee (under contract), 5%); Sebrina L Cole (corporate director, 5%); Charisse R Wilson (corporate director, 5%); Kevin J Mcardle (corporate director, 5%); Susan D Verburg (corporate director, 5%); Joyce G Frevert (corporate director, 5%); Olivia E Sevilla (corporate director, 5%); Suzanne M Graves (corporate director, 5%); Linda A Allera (corporate director, 5%); Barbara J Bateman (corporate director, 5%); Robert E Knudsen (corporate director, 5%); Suzanne M Yoakum (corporate director, 5%); Belinda L Battistelli (corporate director, 5%).
- 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 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 93% rated it 9 or 10 out of 10, and 97% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 58.7% 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 116 hospices CMS’s data show serving patients in ZIP code 92562, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 6.
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 |
|---|---|
| Vnacare This hospice | 6 |
| Hospice of the Valleys | Not given |
| Talna Hospice Care | 1 |
| Nightingale’s Hospice | 3 |
| Reliable Hospice | 22 |
| Aveeva Hospice - South | 0 |
| Bridge Hospice | 6 |
| Elizabeth Hospice | 15 |
| Vitas Healthcare Corporation of California | 4 |
| Hope Hospice & Healthcare, Inc. | 3 |
| Inland Valley Hospice | 3 |
| Sacred Heart 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.