Vnacare
A hospice in Ontario, California 91764
2151 East Convention Center Way, Suite 100, Ontario, California 91764. (909) 624-3574.
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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.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 110 hospices serving ZIP code 91764 had 5.
The last inspection on record was on Jan 5, 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
9 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 5, 2024: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c))
“Upon patient record review 1 of 19 (Patient #11) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient #11: The comprehensive assessment did not contain a complete assessment of spiritual needs related to terminal illness.”
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Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 1 of 19 (Patient #3) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 170 words
“Upon patient record review, 4 of 19 (Patients #5,7,8,13) 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 • Drug therapy currently associated with laboratory monitoring Patient #5: Med Profile indicates Miralax 17 gm powder with no diluent ordered. Corrected on site. Patient #7: Med Profile indicates Miralax 17 gm powder with no diluent ordered. The record reflects patient uses Duo-Neb Nebulizer, this is not reflected on MAR. Corrected on site. Patient# 8: Oxygen machine and Nebulizer machine was listed in DME Section of POC. No Nebulizer or Oxygen meds ordered or on medication list. Corrected on site. Patient #13: Med Profile indicates Norco 5-325 (Hydrocodone 5mg and Acetaminophen 325mg). The MAR indicates NTE 3mg (not 3gm) of Acetaminophen in 24 hours. Corrected on site.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 129 words
“Upon patient record review, 4 of 19 (Patients #5,7,8,13) 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. Patient #5: Med order indicates Miralax 17 gm powder with no diluent ordered. Corrected on site. Patient #7: Med order indicates Miralax 17 gm powder with no diluent ordered. The record reflects patient uses Duo-Neb Nebulizer, this is not reflected on MAR. Corrected on site. Patient# 8: Oxygen machine listed in DME Section of POC. No Oxygen treatment ordered or on medication list. Corrected on site. Patient #13: Med order indicates Norco 5-325 (Hydrocodone 5mg and Acetaminophen 325mg). The MAR indicates NTE 3mg of Acetaminophen in 24 hours. Corrected on site.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 123 words
“Upon patient record review, 3 of 19 (Patients #1,2,5) 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 equipment and supply needs. Patient #1: This patient had a fall mat, wedge pillow, shower chair and ceiling lift. These items were not included on the Plan of Care. Corrected on Site. Patient #2: This patient had a FWW, hospital bed, raised toilet seat and shower chair. These items were not included on the Plan of Care. Corrected on Site. Patient #5: The record reflected that this patient had a FWW, nebulizer and oxygen. These DME items were not included on the Plan of Care. Corrected on S”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 128 words
“Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions for Infection Control for Bag Management (Policy 8.7). This policy indicates bag to be placed on clean surface or hung from clean surface, and/or when visit completed reusable equipment is cleaned using alcohol or soap +water. Patient #1: The RN did not prepare chair in room prior to setting her nursing bag onto the chair seat surface. Patient #3:The RN did not prepare chair in room prior to setting his nursing bag down onto chair seat surface. Additionally, he did not clean equipment (stethoscope, O2 sat) after use and used gloved hands to gather items from his bag after patent care had begun.”
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Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 13 (Personnel # 8) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: Personnel #8: The Aides Initial Competency did not have required observed/demonstrated skills for the following: · Normal range of motion and positioning · Bed bath · Sponge, tub, and shower bath”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 1 of 19 (Patient #13) 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 Patient #13: The POC listed Aide visit frequency of 2 X’s per week for Benefit Week 12/24/23 however, the second scheduled visit on 12/29/23 was not completed.”
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Administration of drugs and biologicals (42 CFR 418.106(d)(1))
“Upon patient record review, 8 of 19 (Patients # 3,7,9,10,11,12,15,19) did not have evidence in the patient record that the interdisciplinary group, as part of the review of the plan of care, determines the ability of the patient and/or family to safely self-administer drugs and biologicals to the patient in his or her home.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 5, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 26, 1988.
- 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): 14.2 nurse care minutes per routine home care day, 13.1% of skilled nursing minutes at weekends and a visit near death for 95.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 37% at home, 49% in assisted living, 14% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.2 min |
| Skilled nursing minutes at weekends | 13.1% |
| Visits near death | 95.1% of patients who died |
Who owns it?
- 23 owners or officers are people: Paula J Natale (corporate officer, 100%); Janelle Plascencia (managing employee (on the payroll), 50%); Patricia Mcbee (managing employee (on the payroll), 25%); Cindy P Cameron (corporate officer, 25%); Jillann Reis (managing employee (on the payroll), 10%); Paula Pachon (corporate director, 5%); Shirley A Turner (corporate director, 5%); Layne A Bartholomew (corporate director, 5%); Karen J Urfer (corporate director, 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%); Timothy J Dauwalder (managing employee (under contract), 5%); Linda A Allera (corporate director, 5%); Susan J Nuss (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): 84% 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).
- 98.8% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 58.2% 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 110 hospices CMS’s data show serving patients in ZIP code 91764, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 | 9 |
| Angel Hospice Provider Inc. | Not given |
| 24/7 Care at Home - Hospice | 11 |
| Alta Loma Hospice, Inc. | 2 |
| Caring Angels Hospice | 6 |
| Vineta Hospice Care, Inc. | 22 |
| Accentcare Hospice & Palliative Care of California - San Bernardino | 9 |
| Bristol Hospice - Inland Valley LLC | 8 |
| Kaiser Foundation Hospital Hospice | 4 |
| Vnacare | 6 |
| Vitas Healthcare Corporation of California | 4 |
| Mission Hospice | 15 |
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.