Accentcare Hospice & Palliative Care of California
A hospice in San Diego, California 92131
9915 Mira Mesa Blvd., Suite 370, San Diego, California 92131. (760) 643-0400.
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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
- 10of 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 44 hospices serving ZIP code 92131 had 7.
The last inspection on record was on May 8, 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
6 deficiencies in 1 month of the last 36. Last cited May 2025. 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 8, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Patient Home. In 1 of 14 home visits, surveyor noted that the organization failed to conduct a patient specific reassessment of the patient per the organization’s policy. For example, the nurse did not perform a complete head-to-toe skin assessment of the patient who has a high risk for skin breakdown. This was reviewed with the Administrator.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 116 words
“Observed in Record Review. In 1 of 14 records reviewed, surveyor noted that the organization failed to develop a plan of care that includes all services needed for the palliation and management of the terminal illness and related conditions. For example in RRNHV#4, surveyor noted that the nurse documented that patient had a left toe fungal rash/erythema, however, there was no care plan for impaired skin integrity. The nurse documented that that patient had abnormal breath sounds, however there was no care plan for impaired lung function. The patient’s medication profile indicated that patient has scheduled and PRN Tylenol for pain, however, there is no care plan for pain. This was reviewed with the Executive Director.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 93 words
“Observed in Record Review. In 1 of 4 home visits, surveyor noted that the organization failed to provide care, treatment, or services in accordance with orders or prescriptions, as required by law and regulation. For example, during subsequent record review HV#1, surveyor noted that the nurse did not provide wound care according to the physician’s order which stated clean 2nd left toe diabetic ulcer with wound cleanser and apply iodine (to diabetic ulcer) every three days; the nurse did not cleanse the wound before applying iodine. This was reviewed with the Executive Director.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 1 of 3 visits, surveyor observed that the organization failed to implement activities for the prevention and control of infections and communicable diseases per their policy. For example, in HV#1, the nurse did not disinfect her hands after providing patient care that included assessment of vital signs and wound care, increasing the potential for spreading infectious/communicable diseases. This was reviewed with the Executive Director and Director of Patient Care Services.”
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Cost saving (42 CFR 418.78(d))
“Observed in Tracer Activities. During the Volunteer Program Review, surveyor noted that the organization failed to document/achieve cost savings that the hospice would have incurred if paid employees occupied positions engaged in administrative or direct patient care roles. For example, in year 2023, the organization did not have active volunteers, subsequently, the organization was not able to demonstrate cost savings through the use of volunteers in administrative/direct patient care roles. This was reviewed with the Executive Director.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. During the Volunteer Program Review, surveyor noted that the organization failed to provide at least 5% of the total patient care hours of all paid hospice employees and contract staff. For example, for year 2023 the total day to-day administrative or direct patient care was 0% of all paid hospice employees and contract staff. This was reviewed with the Executive Director and Bereavement Coordinator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 8, 2025 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 27, 2009.
- Ownership: other.
- 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): 14.7 nurse care minutes per routine home care day, 6% of skilled nursing minutes at weekends and a visit near death for 88.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 25% in assisted living, 2% 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 | 14.7 min |
| Skilled nursing minutes at weekends | 6% |
| Visits near death | 88.5% of patients who died |
Who owns it?
- Accentcare, Inc. owns 100% directly since Dec 21, 2020.
- 6 owners or officers are people: Trevor Rabie (managing employee (under contract)); John Guess (corporate officer); Elizabeth Smith (managing employee (on the payroll)); Heather Siscel (corporate officer); Andrew Johnston (corporate officer); Dena Schwartz-Doty (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Horizon Acquisition Co Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Horizon Group Holdings Intermediate 2, Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Horizon Group Holdings Intermediate 1, Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Horizon Group Holdings, L.P. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Accentcare, Inc. | Owns 5% or more directly | 100% | Dec 21, 2020 |
| Pluto Acquisition I Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Seasons Rollover Holdings LLC | Owns 5% or more through other companies | 15.4% | Dec 21, 2020 |
| Advent International Gpe VIII-B, L.P. | Owns 5% or more through other companies | 15.1% | Dec 21, 2020 |
| Advent International Gpe VIII-A LP | Owns 5% or more through other companies | 11.2% | Dec 21, 2020 |
| Advent International Gpe Viii-B-3, L.P. | Owns 5% or more through other companies | 6.3% | Dec 21, 2020 |
| Advent International Gpe VIII-H, L.P. | Owns 5% or more through other companies | 5.5% | Dec 21, 2020 |
| Advent International Gpe Viii-B-1, L.P. | Owns 5% or more through other companies | 5.4% | Dec 21, 2020 |
| Advent International Gpe VIII-I, L.P. | Owns 5% or more through other companies | 5.1% | Dec 21, 2020 |
| Advent International Gpe VIII-J LP | Owns 5% or more through other companies | 5% | Dec 21, 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): 81% rated it 9 or 10 out of 10, and 87% 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); 55.1% 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 | 10 of 10 |
How does it compare nearby?
- Of the 44 hospices CMS’s data show serving patients in ZIP code 92131, 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 |
|---|---|
| Accentcare Hospice & Palliative Care of California This hospice | 6 |
| SD Hospice Inc. | 5 |
| Kaiser Foundation Hospital San Diego Hospice | 7 |
| Vitas Healthcare Corporation of California | 3 |
| Sharp Hospicecare | 12 |
| Gentiva | 21 |
| Lightbridge Hospice | 11 |
| Silverado Hospice San Diego | 6 |
| Apreva Hospice | 10 |
| Interim Healthcare San Diego Hospice | Not given |
| Mission Hospice Services of San Diego LLC | 3 |
| Advantage Health Systems | 10 |
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.