Inland Valley Hospice Care
A hospice in Apple Valley, California 92307
19167 Us Highway 18, Suite 6, Apple Valley, California 92307. (760) 243-2501.
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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.
- 2 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?
2 deficiencies cited in the last three years
The middle of the 92 hospices serving ZIP code 92307 had 6.5.
The last inspection on record was on Apr 18, 2025: an initial inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 18, 2025: initial inspection by the Community Health Accreditation Partner2 deficiencies
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
The inspectors’ words, 242 words
“It is required that if the care of a hospice patient is transferred to a Medicare/Medicaid certified facility, the hospice forwards to the receiving facility a copy of the hospice discharge summary described in HCDT 40.I, and the patient’s record, if requested. This standard was not met as evidenced by document review, clinical record review, and interview. In 1 of 1 (100%) clinical record reviewed with patient discharge and transfer to the hospital, the agency did not ensure a copy of the hospice discharge summary was sent to the hospital. Agency policy No 1-025 Discharge from Hospice Program Policy, with no date, required in part, “When a patient is discharged, transferred, or referred to another organization, relevant information may include: reason for transfer or discharge, physical and psychosocial status at time of transfer or discharge, including specific medical, psychosocial, or other problems requiring interventions or follow-up, summary of the care provided and progress toward achieving goals, including both positive and adverse patient responses to treatment or services.” CLINICAL RECORD 19: The patient elected the hospice benefit on 07/06/2024 and was discharged and transferred to the hospital on 10/16/2024. The clinical record contained no documented evidence that a discharge summary was sent to the hospital upon discharge from the hospice agency. During record review and interview on 04/17/2025, the Director of Patient Care Services stated that they had identified a problem with discharges and had education for the staff planned for next week.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
The inspectors’ words, 204 words
“It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation §418.26 (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician a copy of the hospice discharge summary and the patient’s record, if requested. This standard was not met as evidenced by document review, clinical record review, and interview. In 1 of 1 (100%) clinical record reviewed for a patient who revoked the hospice benefit and was discharged, the agency did not ensure that the attending physician was sent a copy of the hospice discharge summary. Agency policy No 1-026 Discharge Summary, no date, required in part, “A copy of the discharge summary will be provided to the patient’s attending physician. If requested, the patient’s clinical records will be provided.” CLINICAL RECORD 18: The patient elected the hospice benefit on 07/06/2024. The patient revoked the hospice election on 12/23/2024. The clinical record contained no documented evidence that the discharge summary was sent to the patient’s attending physician. During record review and interview on 04/17/2025, the Director of Patient Care Services stated that they had identified a problem with discharges and had training for the staff planned for the following week.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 18, 2025 | Initial inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 22, 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): 9.8 nurse care minutes per routine home care day, 7.2% of skilled nursing minutes at weekends and a visit near death for 95% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 71% at home, 17% in assisted living, 13% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 9.8 min |
| Skilled nursing minutes at weekends | 7.2% |
| Visits near death | 95.0% of patients who died |
Who owns it?
- Alleviate Care Operating Co., Inc. owns 100% directly since Mar 29, 2022; Cdc II LLC owns 6.25% directly since Apr 25, 2022.
- Alleviate Care Operating Co., Inc. and Alleviate Care, LLC and Alleviate Care Holdings, LLC run it.
- 22 owners or officers are people: Janet L Jones (corporate officer, 100%); Natalie Allen (holds 5% or more security interest, 100%); Stephen A Greene (owns 5% or more through other companies, 12.5%); Xiaoli Qiu (owns 5% or more through other companies, 5.03%); David Rothenstein (owns 5% or more through other companies, 5%); Nina Kjellson (owns 5% or more through other companies, 5%); Stephen A Greene (corporate director); Stephen A Greene (runs it (operational or managerial control)); Mary Focht (managing employee (on the payroll)); Mary Focht (runs it (operational or managerial control)); Brent A Emery (corporate officer); Brent A Emery (corporate director); Brent A Emery (runs it (operational or managerial control)); Janet L Jones (corporate director); Janet L Jones (runs it (operational or managerial control)); Guy J Rosenthal (corporate officer); Guy J Rosenthal (corporate director); Guy J Rosenthal (runs it (operational or managerial control)); Alan Kaplan (corporate director); Alan Kaplan (runs it (operational or managerial control)); Wahid Midou (managing employee (under contract)); Wahid Midou (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Inland Valley Consultants, Inc. | Holds 5% or more security interest | 100% | Jun 1, 2022 |
| Alleviate Care Operating Co., Inc. | Owns 5% or more directly | 100% | Mar 29, 2022 |
| Alleviate Care Operating Co., Inc. | Runs it (operational or managerial control) | 100% | Mar 29, 2022 |
| Inland Valley Hospice Care, Inc. | Holds 5% or more security interest | 100% | Jun 1, 2022 |
| Alleviate Care, LLC | Runs it (operational or managerial control) | 100% | Apr 25, 2022 |
| Alleviate Care Holdings, LLC | Owns 5% or more through other companies | 100% | Apr 23, 2022 |
| Alleviate Care Holdings, LLC | Runs it (operational or managerial control) | 100% | Apr 25, 2022 |
| Live Oak Banking Company | Holds 5% or more security interest | 100% | Jun 15, 2022 |
| Cdc II LLC | Owns 5% or more directly | 6.25% | Apr 25, 2022 |
| Alleviate Care, LLC | Owns 5% or more through other companies | 5.25% | Apr 25, 2022 |
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): 78% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 90.05% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 30.6% 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 92 hospices CMS’s data show serving patients in ZIP code 92307, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 2.
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 |
|---|---|
| Vnacare | 4 |
| Inland Valley Hospice Care This hospice | 2 |
| St Bernardine Hospice Care | Not given |
| Green Valley Hospice & Palliative Care, LLC | 4 |
| Kaiser Foundation Hospital Hospice | 4 |
| Vnacare | 6 |
| Vnacare | 9 |
| Serenity Hospice Care | 13 |
| Inland Valley Hospice | 3 |
| Accentcare Hospice & Palliative Care of California - San Bernardino | 9 |
| High Desert Hospice Services Inc. | 4 |
| Graceful Palms Hospice and Palliative Care Corp. | 8 |
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.