Aseracare Hospice
A hospice in Fresno, California 93720
545 E Alluvial Ave, Fresno, California 93720. (559) 447-2540.
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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
- 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?
6 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 93720 had 6.
The last inspection on record was on Sep 3, 2026: 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 Sep 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.
Sep 3, 2026: 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, 162 words
“Upon patient record review, 3 of 14 (Patient #2,3,6) 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 #2: Upon observation during the home visit, the hospice medication record contained Tamsulosin 0.4 mg daily. The caregiver stated “he stopped that medication”. Patient #3: Upon observation during the home visit, the hospice medication record contained Seroquel 50 mg 2 times daily. The caregiver stated “she only gives it at bedtime as it makes the patient too sleepy to take during the day”. Patient #6: There is evidence in the medical record 7/22/26 order, Oxygen 2L, Daily/PRN, Route: inhalation. The order does not have a route or clear frequency identified.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 131 words
“Upon patient record review, 3 of 14 (Patient #2,3,6) 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 #2: Upon observation during the home visit, the hospice plan of care contained Tamsulosin 0.4 mg daily. The caregiver stated “he stopped that medication”. Patient #3: Upon observation during the home visit, the hospice plan of care contained Seroquel 50 mg 2 times daily. The caregiver stated “she only gives it at bedtime as it makes the patient too sleepy to take during the day”. Patient #6: There is evidence in the medical record 7/22/26 order, Oxygen 2L, Daily/PRN, Route: inhalation. The order does not have a route or clear frequency identified.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 102 words
“Upon patient record review, 2 of 14 (Patient #5,6) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #5: There is evidence in the patient record, 7/20/26, an order to add oxygen 2L/NC, PRN. The plan of care was not updated to include Skilled teaching regarding oxygen therapy. Patient #6: There is evidence in the patient record, 7/22/26, an order to add oxygen 2L/NC, PRN. The plan of care was not updated to include Skilled teaching regarding oxygen therapy.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 167 words
“Upon patient record review, 2 of 14 (Patient #3,9) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • 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 Patient #3: There is evidence in the medical record the Aide Plan of care indicates “change linens, per request”. Patient #9: There is evidence in the medical record the Aide Plan of care indicates “assist with shower, details: bed bath or shower.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 92 words
“Upon patient record review 1 of 14 (Patient #9) 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 #9: There is evidence in the medical record, 7/11/26 aide care plan indicates to “change linen weekly, on Thursdays”. On 8/5/26 and 8/7/26, a Wednesday and a Friday, the aide changed the linens.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 91 words
“Upon patient client record review, 1 of 14 (Patient #7) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #7: There is evidence in the medical record on 7/15/26 in the RN note the LPN supervision was documented. The patient did not have an LPN that would need supervising.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 3, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 3, 2008.
- 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, 8.3% of skilled nursing minutes at weekends and a visit near death for 96% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 46% at home, 30% in assisted living, 22% in a nursing facility, 2% elsewhere.
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 | 8.3% |
| Visits near death | 96.0% of patients who died |
Who owns it?
- Homecare Preferred Choice, Inc. owns 100% directly since Jun 1, 2020.
- 12 owners or officers are people: Shanon Dellone (managing employee (on the payroll)); Navdeep Gill (managing employee (on the payroll)); Marcus Macip (corporate officer); Kimberly Seymour (corporate officer); Bridget R Kaigler (managing employee (on the payroll)); Bridget R Kaigler (runs it (operational or managerial control)); Carolyn Whittington (managing employee (on the payroll)); Joni Babineaux (corporate officer); Kristina J Braud (runs it (operational or managerial control)); Jeanne Shingleton (corporate officer); Joshua Lee Proffitt (corporate officer); Joshua Lee Proffitt (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Unitedhealth Group Incorporated | Owns 5% or more through other companies | 100% | Aug 14, 2025 |
| Amedisys Inc. | Owns 5% or more through other companies | 100% | Jun 1, 2020 |
| Amedisys Hospice, L.L.C. | Owns 5% or more through other companies | 100% | Jun 1, 2020 |
| Amedisys Holding LLC | Owns 5% or more through other companies | 100% | Jun 1, 2020 |
| Homecare Preferred Choice, Inc. | Owns 5% or more directly | 100% | Jun 1, 2020 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.88% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 78.2% 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 | 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 25 hospices CMS’s data show serving patients in ZIP code 93720, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Aseracare Hospice This hospice | 6 |
| Saint Agnes Home Health & Hospice | 6 |
| Hinds Hospice - Fresno | 3 |
| Bristol Hospice Fresno | 4 |
| Bright Horizon Hospice Services | 19 |
| St Mary’s Hospice Services, Inc. | 19 |
| Ardent Hospice of Fresno | 23 |
| Oyuna Hospice, Inc. | 2 |
| Hospice of the Valley | 13 |
| Valley Regional Hospice Inc. | 4 |
| Athena Hospice | 17 |
| Lenity Hospice LLC | 14 |
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.