Apreva Hospice
A hospice in San Diego, California 92108
1565 Hotel Circle South, Suite 320, San Diego, California 92108. (619) 450-4414.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- 3of 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?
10 deficiencies cited in the last three years
The middle of the 43 hospices serving ZIP code 92108 had 8.
The last inspection on record was on May 9, 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
10 deficiencies in 1 month of the last 36. Last cited May 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.
May 9, 2025: reaccreditation inspection by The Joint Commission10 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
The inspectors’ words, 104 words
“Observed in Record Review. In 2 of 2 live discharge records reviewed, the patient discharged from service without the completion of a Notice of Medicare Non Coverage (NOMNC) or contact with the Medicare Administrative Contractor prior to discharging patient from service. On review of RRDC #1, the agency was discharging for cause for not allowing care and there was no NOMNC was completed prior to discharging or notification to the the Medicare administrative contractor of the discharge. On RRDC #2, the agency did not get a signed NOMNC prior to discharging a patient for an extended diagnosis. This finding was reviewed with the Administrator.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 14 of 14 active patient records reviewed, the nurse surveyor noted that plan of care goals were not measurable and/or time specific for achieving goals. For example, RRHV #1-#4 and RRNHV #1-#10, the plan of cares did not have timeframes for achieving goals. Examples include: dyspnea will be managed at acceptable level to patient, pain is managed at acceptable rating, and most all goals had no timeframe or a timeframe as “while on hospice”. This finding was reviewed with the organization leadership.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 170 words
“Observed in Record Review. In 6 out of 14 active patient records reviewed, the organization failed to update the patient’s plan of care. On RRHV#3, the Hospice Nurse Surveyor observed the plan of care had not been updated to include goals or interventions for added medication therapies one due to a new lesion and one for a new topical medication. On RRHV #4, it was noted that patient was started on a topical agitation cream and the plan of care had not been updated to include goals or interventions for this new treatment. On RRNHV #1 and RRNHV #3, teaching goals from admissions have been on the care plan since admission and not updated to reflect the current condition. RRNHV #2, patient started Lidocaine patches after admission, but the Plan of care was not updated to reflect those changes. On RRNHV #4, it was noted that patient was started on antibiotic for UTI prevention and no goal developed for this. This was discussed and reviewed with the Hospice Leadership Team.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 157 words
“Observed in Record Review. In 14 of 14 active patient records reviewed, the hospice nurse surveyor noted medication orders were not clear and accurate. On RRHV # 1 the physician’s orders in the plan of care documented Morphine 15 mg immediate release tab Q6prn for mod pain and Morphine concentrate 10mg Q 2 PRN mod pain; however, there was no indication how to handle the duplicate therapy. On RRHV #2 and RRHV #3, the physician order in the plan of care documented MiraLAX and Bisacodyl PRN for constipation, with no indication for how to handle the duplicate therapy. On RRHV #4, there were multiple duplicate PRN medications for the same indication, one example includes senna PRN for constipation and Bisacodyl Suppository PRN for constipation and not indication how to handle the duplicate therapies. On review of RRNHV #1-10, these records further demonstrate duplicate PRN medication therapy with the same examples. This was discussed with the leadership team.”
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Coordination of services (42 CFR 418.56(e)(4))
“Observed in Record Review. On 1 of 2 live discharge records reviewed., the organization failed to coordinate the discharge with family prior to discharge. On RRDC #1, the organization discharged the patient from service without coordination with the attending physician and the family. This finding was reviewed with agency leadership.”
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Program data (42 CFR 418.58(b)(2)(ii))
“Observed in Data Session. During the data management session with the organization, it was noted that the organization had been collecting event data. However, the data for Medication Error and Medication Adverse Events were all gathered under other events and not broken into each area to analyze and identify and trend over time. In addition, the hand hygiene data had not been collected so it could not be analyzed or trended as well. This finding was reviewed with agency leaders.”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Data Session. During the data management session with the organization, it was noted that the organization had not improved compliance with hand hygiene because there was no data had not been aggregated to evaluate hand hygiene compliance. This finding was reviewed with agency leaders.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. The organization failed to provide services that meet the patient needs. During tracer activities for volunteer services, the Hospice Nurse Surveyor observed the volunteer percentage for 2025 was between 3-4% each month. The organization is in the process of an active performance improvement project around volunteers. They also have a new volunteer coordinator who started 1 week ago as part of the plan to address the issue. This finding was discussed and reviewed with the Hospice Leadership Team.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. On 1 of 2 live discharge records reviewed., the organization failed to contact the attending physician to plan the patient needs prior to discharge. On RRDC #1, the organization discharged the patient from service without planning care treatment and services with the attending physician prior to discharge. This finding was reviewed with agency leadership.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Patient Home. In 3 of 4 home visits conducted, the patient’s individualized emergency management plan was not completed and in the home. On RRHV #1, RRHV #3 and RRHV #4, it was noted that patients did not have an emergency plan completed. This finding was discussed with agency leadership.”
All 9 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 9, 2025 | Reaccreditation inspection by The Joint Commission | 10 deficiencies cited |
| May 8, 2024 | Complaint inspection by the state | No deficiencies cited |
| Mar 21, 2024 | Complaint inspection by the state | No deficiencies cited |
| Mar 5, 2024 | Complaint inspection by the state | No deficiencies cited |
| Mar 5, 2024 | Complaint inspection by the state | No deficiencies cited |
| Feb 26, 2024 | Complaint inspection by the state | No deficiencies cited |
| Feb 23, 2024 | Complaint inspection by the state | No deficiencies cited |
| Feb 21, 2024 | Complaint inspection by the state | No deficiencies cited |
| Jan 5, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 2, 2009.
- 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): 12.3 nurse care minutes per routine home care day, 6.4% 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): 29% at home, 61% in assisted living, 10% 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 | 12.3 min |
| Skilled nursing minutes at weekends | 6.4% |
| Visits near death | 88.5% of patients who died |
Who owns it?
- Abode Healthcare, Inc. owns 100% directly since Jul 1, 2022.
- 9 owners or officers are people: Jay Koeper (corporate officer, 0%); Jay Koeper (corporate director, 0%); Jennifer Phipps (corporate officer); Margaret Sherry Pemberton (corporate officer); Margaret Sherry Pemberton (corporate director); Daniel Harrison (managing employee (under contract), 0%); Natasha Vakili (managing employee (on the payroll)); Michael A Mcmaude (corporate officer); Michael A Mcmaude (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 |
|---|---|---|---|
| Silverton Abode Holding Corporation | Owns 5% or more through other companies | 100% | Feb 9, 2021 |
| Brightspring Health Holdings Corp | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Intermediate Holdings, Inc. | Owns 5% or more through other companies | 100% | Feb 9, 2021 |
| Phoenix Guarantor Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Res-Care Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Holdings, Inc. | Owns 5% or more through other companies | 100% | Feb 9, 2021 |
| Phoenix Intermediate Holdings Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Abode Healthcare, Inc. | Owns 5% or more directly | 100% | Jul 1, 2022 |
| Brightspring Health Services Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Abode, LLC | Owns 5% or more through other companies | 100% | Feb 9, 2021 |
| Kkr Phoenix Aggregator L.P. | Owns 5% or more through other companies | 48% | Jan 30, 2024 |
| Kkr Americas Fund Xii LP | Owns 5% or more through other companies | 42% | Jan 30, 2024 |
| Walgreen Co | Owns 5% or more through other companies | 20% | Jan 30, 2024 |
| Walgreens Holding Company | Owns 5% or more through other companies | 20% | Jan 30, 2024 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% 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).
- 99.84% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 47% 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 | 3 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 43 hospices CMS’s data show serving patients in ZIP code 92108, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 10.
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 |
|---|---|
| Kaiser Foundation Hospital San Diego Hospice | 7 |
| Apreva Hospice This hospice | 10 |
| Mission Hospice Services of San Diego LLC | 3 |
| Divine Light Hospice | Not given |
| Vista Community Hospice Inc. | 13 |
| Vitas Healthcare Corporation of California | 3 |
| Sharp Hospicecare | 12 |
| Gentiva | 21 |
| Lightbridge Hospice | 11 |
| Silverado Hospice San Diego | 6 |
| Advantage Health Systems | 10 |
| Seaport Hospice | Not given |
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.