Community Care Hospice
A hospice in Glendora, California 91741
115 E Foothill Blvd Suite 102, Glendora, California 91741. (626) 335-9759.
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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.
- 11 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 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?
11 deficiencies cited in the last three years
The middle of the 82 hospices serving ZIP code 91741 had 7.
The last inspection on record was on Mar 20, 2025: 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
11 deficiencies in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Mar 20, 2025: reaccreditation inspection by The Joint Commission11 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 2 of 12 patient records reviewed, the social worker and the chaplain failed to complete their initial assessment within five days after the election of the hospice benefit. This was observed in HSPCRRNHV #2 where the social worker completed the initial assessment on day 11 and in HSPCRRDC #2 where the chaplain completed the initial assessment on day 6. This was reviewed and validated with the Administrator.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of 14 patient records reviewed, the surveyor noted in HSPCRRNHV #6 that the Bereavement Assessment was completed 16 days after the election of benefit. The organization failed to complete the bereavement assessment per agency policy of 5 days of election of benefit. This was reviewed and validated with the Administrator.”
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Plan of care (42 CFR 418.56(b))
The inspectors’ words, 111 words
“Observed in Record Review. In 7 of 11 patient records reviewed, where aide services were required the hospice surveyor noted that the aide care plan did not include specific precautions. In HSPCRRHV #1 the patient had oxygen and bleeding precautions, in HSPCRRHV #2 the patient had oxygen, bleeding, and wound precautions, in HSPCRRHV #3 the patient had oxygen and wound precautions, and in HSPCRRNHV#1, HSPCRRNHV#5, and HSPCRRNHV #7 the patient had oxygen precautions, and in HSPCRRNHV #3 the patient was a fall risk and also had a colostomy with a dressing with no precautions cited in the home health aide care plan, . This was reviewed and validated with the Administrator.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 442 words
“Observed in Record Review. In 1 of 12 patient records reviewed, the surveyor noted that in HSPCRRNHV #4 that the patient was prescribed Aspirin 325 mg 1 tab by mouth every day and Prasugrel 5 mg 1 tablet by mouth every day as an antiplatelet. The RN did not include a care plan on bleeding precautions. This was reviewed and validated with the Administrator. Observed in Record Review. In 6 of 12 patient records reviewed, the hospice surveyor observed that duplicate medications had been ordered and the instructions for use were not clear. In HSPCRRHV #1 the patient had Lorazepam 0.5 mg tabs ordered q 4hrs. and prn for anxiety. The patient also had an order for Lorazepam 2mg/ml concentrate 2 mg oral and sublingual every 4 hours as needed for SOB/anxiety/restlessness. It is not clear when to take one over the other. In HSPCRRHV#2 and HSPCRRNHV #4 the nurse surveyor observed the patient had an order for docusate sodium 100mg soft gel oral prn constipation. The patient also had an order for Bisacodyl 10 mg rectal suppository 1 prn if no BM in 3 days. It is not clear if they should both be used. In HSPCRRNHV #3 the patient had an order for Lorazepam 0.5 mg tabs po every morning and noon for anxiety and restlessness and also had Lorazepam 1 mg tab 1 1/2 tables at bedtime for anxiety and restlessness, and a third order for Lorazepam 0.5 mg 1 tablet po Q4 hrs. as needed for anxiety. Orders were not clear. This patient also had an order for acetaminophen 500mg 2 tabs every 8 hours as needed for pain and fever >100.4 and another order for Acetaminophen 650 mg rectal suppository every 6 hours as needed for a temperature and a third order for ibuprofen 200 mg 3 tablets by mouth every 6 hours as needed for pain and inflammation. It is not clear when to take one over the other. In HSPCRRNHV #1 the patient has an order for Hydrocortisone 0.1% topical cream daily as needed for rash on neck and chest. There is another order for Ketoconazole 2% topical cream daily as needed for rash on neck/chest. Order not clear if both need or can be used at the same time. In HSPCRRNHV #7 the patient has an order for Hydrocodone Bitartrate/Acetaminophen 7.5 mg-325 mg one tab every 6 hrs. and prn for break through pain and an order for Morphine Sulfate 20mg/1 ml oral every 4 hours and prn for pain/respiratory distress or crisis management. It is unclear when one should be taken over the other. This has been reviewed and validated with the Administrator.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 106 words
“Observed in Patient Home. In 2 of 3 home visits conducted, the organization failed to follow manufacturer’s recommendations for cleaning of the electronic wrist cuff being employed for multi-patient use. During HSPCRRHV #1 the nurse surveyor asked the HHA what solution she used to clean the Walgreens electronic wrist cuff and she attests that she uses Clorox wipes. The manufacturer’s guidelines state to use a soft damp cloth to clean the cuff. During HSPCRRHV #3 the RN confirms that she cleans her thermometer, and pulse oximeter with Sanicloth wipe and the manufacturer’s guidelines state to use alcohol wipes. This was reviewed and validated with the Administrator.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 4 of 9 patient records reviewed, the hospice surveyor noted in HSPCRRNHV #1 where home health aide services were ordered for a hospice patient they were not supervised every 14 days. There were 17 days between supervisory visits. In HSPCRRNHV #5 there were 16 days between supervisory visits. In HSPCRRNHV #7 there were 15 days between supervisory visits and in HSPCRRDC #2 18 days between supervisory visits. This was reviewed and validated with the Administrator”
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Training (42 CFR 418.100(g)(1))
“Observed in HR File Review. In 2 of 7 tracers conducted, the hospice nurse surveyor observed that both the HR #4 Medical Director and the alternate Medical Director HR #7 failed to be oriented to organizational policies and procedures related to the provision of care, treatment and services in the environment of care and infection control. This was reviewed and validated with the Administrator.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 4 of 7 HR files reviewed, the nurse surveyor observed that there was no Competencies defined for Hospice volunteer Coordinator, Chaplain, Medical Director, or Alternate Medical Director. This was reviewed and validated with the Administrator.”
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Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 2 of 12 patient records reviewed, the hospice surveyor noted that the organization failed to document the ordered wound care provided to the patient. In HSPCRRHV#2 the patient has wounds to bilateral heels and sacrum and in 4 of the visit notes the RN documented wound care done. In HSPCRRNHV #3 the RN documented foley change performed. No documentation as to the size of the foley catheter used or how the patient tolerated the procedure. This was reviewed and validated with the Administrator.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Regulatory Review. In 2 of 2 patient records reviewed, The organization failed to provide the discharged patient information about the care, treatment or services provided to the patient to other service providers who will provide the patient with care, treatment, or services. The HSPC surveyor reviewed in HSPCRRDC #1 and HSPCRRDC #2 where the discharge summary was prepared but there was no documentation that the provider was provided a copy upon patient discharge. This was reviewed and validated with the Administrator.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in HR File Review. In 2 of 7 HR files reviewed, the hospice nurse surveyor observed that the criminal background checks for both the Medical Director HR # 4 and the alternate Medical Director HR #7 were not completed. This was reviewed and validated with the Administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 20, 2025 | Reaccreditation inspection by The Joint Commission | 11 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 26, 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): 15 nurse care minutes per routine home care day, 3.9% of skilled nursing minutes at weekends and a visit near death for 87.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 38% at home, 62% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.0 min |
| Skilled nursing minutes at weekends | 3.9% |
| Visits near death | 87.3% of patients who died |
Who owns it?
- CMS’s ownership file has no owners listed for this hospice.
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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 87.1% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 22% 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 | 9 of 10 |
How does it compare nearby?
- Of the 82 hospices CMS’s data show serving patients in ZIP code 91741, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 11.
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 |
|---|---|
| Community Care Hospice This hospice | 11 |
| Lifelink Hospice & Palliative Care | 16 |
| San Gabriel Hospice | 9 |
| St Carmen Health Providers, Inc. | 8 |
| New Madison Hospice and Palliative Care, Inc. | 4 |
| Kaiser Foundation Hospital Hospice Program | 3 |
| Vnacare | 9 |
| Vitas Healthcare Corp | 18 |
| All Care Hospice | 9 |
| Silverado Hospice-Los Angeles | 15 |
| Bristol Hospice- Northern Los Angeles | 7 |
| Accentcare Hospice & Palliative Care of California - San Bernardino | 9 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.