All Care Hospice
A hospice in Glendale, California 91210
100 W Broadway Suite 810, Glendale, California 91210. (818) 241-9120.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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 3 hospices serving ZIP code 91210 had 7.
The last inspection on record was on Feb 20, 2026: 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
9 deficiencies in 1 month of the last 36. Last cited Feb 2026. 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.
Feb 20, 2026: reaccreditation inspection by The Joint Commission9 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 10 of 10 patient records reviewed, The organization failed the patient in making decisions about their care, treatment, or services as evidenced in all 10 records reviewed there was no addendum for non covered items, this was observed and validated by the Case Manager and CFO”
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Patient outcome measures (42 CFR 418.54(e)(2))
The inspectors’ words, 99 words
“Observed in Record Review. In 10 of 10 patient records reviewed, The organization failed to maintain complete and accurate patient records as evidenced in all 10 records have no IDG discussion recorded in the EMR. Additionally,RRHV#2: HHA assignment: patient has continuous enteral feeding via a G-tube and feeding assistance and light meal preparation checked off. RRHV#1: HHA documentation contained only vital signs and no documentation as to what services were completed. RRNHV#1: Peripheral IV size, gauge and site continued to be documented for 6 months following discontinuation of peripheral line, this was observed and validated by the Case Manager”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 150 words
“Observed in Record Review. In 10 of 10 patient records reviewed, The organization failed to provided written plan of care based on the patient’s specific goals and the time frames, settings, and services required to meet those goals as evidenced in RRHV#1: Cardiopulmonary goal:patient will have optimum levels of oxygenation and Pain goal : CG will verbalize understanding of non-verbal signs of pain. RRHV#2: Nutrition: Patient will have adequate food and fluids as tolerated to maintain comfort. RRHV#3: RRNHV#2:RRNHV#5: GU goal skin integrity will be maintained, RRNHV#1:Pain goal- pt will maintain pain controlled at an acceptable level for pt/CG, IV will remain patent and free from infection. RRNHV#3: skin integrity will be maintained or improved as feasible. RRNHV#4, RRNHV#6: Pt/CG will verbalize understanding of how disease process affects behavior and cognitive function, RRNHV#7: Neuro goal: Patient will remain free from any emotional disturbances, this was validated by the Case Manager”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 181 words
“Observed in Record Review. In 5 of 10 patient records reviewed, The organization failed to include in the patient’s plan of care a statement of the scope and frequency of the services necessary to meet the patient’s and family’s needs as evidenced in RRHV#1: During medication reconciliation patient has been taking mineral oil 1 teaspoon daily for 30 days and there is no order. RRHV#2:Patient has a g-tube, is a IDDM receives insulin and has a foley catheter and no interventions for care. RRHV#3: . Patient has a foley catheter and no interventions for care and during medication reconciliation - patient has not been taking the following medications for over 3 months Mucinex cold flu and sore throat oral liquid and famotidine 20mg every night and remain on MAR. RRNHV#1: patient receiving IV fluids and had a peripheral line and port and no interventions for care if the IV access or port,. RRNHV#2: POC does not include wound agency that is seeing the patient weekly. RRNHV#4: no interventions for new onset seizures, this was observed and validated by the Case Manger”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 2 of 10 patient records reviewed, The organization failed to provide the patient with care, treatment, or services according to the patient’s individualized plan of care, as evidenced in RRNHV#2: Patient has 4 wounds and there were not measured @ SOC and RRNHV#7: Decubitus ulcer was not measured @ SOC per organization policy, this was observed and validated by the Case Manager”
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Quality assessment & performance improvement (42 CFR 418.58)
“Observed in Data Session. The QAPI program failed to involve all services provided by the organization, including those provided under contract or arrangement as evidenced during the data session the Hospice QAPI program, failed to address DME, pharmacy, bereavement or volunteer services, this was observed and validated by the DON”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 103 words
“Observed in Record Review. In 8 of 10 patient records reviewed, A registered nurse who is a member of the interdisciplinary group and is responsible for hospice aide supervision did not prepare a written patient care instructions for the hospice aide as evidenced in RRHV#1: No HHA assignment was created by RN. RRHV#2: No special precautions identified for aspiration or foley catheter in HHA assignment. RRHV#3: HHA assignment does not contain special precautions for foley care. RRNHV#2, RRNHV#3: RRNHV#5, RRNHV#6: no special precautions to address wound dressings,. RRNHV#4: no seizure precautions in HHA assignment, this was observed and validated by the Case Manager”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 2 of 10 patient records reviewed, The registered nurse failed to supervise the hospice aide during an on-site visit to the patient’s home no less frequently than every 14 days. as evidenced in RRHV#3: HHA supervisory visit not done for 6 months. RRNHV#2: HHA supervisory visit was past due by 21 days, this was observed and validated by the Case Manager”
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Hospice plan of care (42 CFR 418.112(d)(1))
“Observed in Record Review. In 1 of 10 patient records reviewed, The organization failed to identify which provider is responsible for performing the functions that have been agreed upon and included in the plan of care as evidenced in RRHV#2: SNF patient with foley catheter and g-tube but the POC did not specify who would change the catheter or change G-tube dressing, this was observed and validated by the Case Manager”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 20, 2026 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 2, 2003.
- 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): 19.5 nurse care minutes per routine home care day, 10.6% of skilled nursing minutes at weekends and a visit near death for 91.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 96% at home, 4% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 19.5 min |
| Skilled nursing minutes at weekends | 10.6% |
| Visits near death | 91.3% of patients who died |
Who owns it?
- 7 owners or officers are people: Lilia Sayas Pagsisihan (owns 5% or more directly, 50%); Lilia Sayas Pagsisihan (corporate director, 50%); Apolonio Camia Pagsisihan (owns 5% or more directly, 50%); Apolonio Camia Pagsisihan (corporate director, 50%); Lilia Sayas Pagsisihan (managing employee (on the payroll)); Maria Luisa T Duran (managing employee (on the payroll)); Apolonio Camia Pagsisihan (corporate officer).
- 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?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 88.1% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 3% 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 | Not rated |
| 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 | 8 of 10 |
How does it compare nearby?
- Of the 3 hospices CMS’s data show serving patients in ZIP code 91210, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; 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 |
|---|---|
| All Care Hospice This hospice | 9 |
| Roze Room Hospice of San Gabriel Valley | 7 |
| Ergo Hospice, Inc. | 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.