Ultimate Great Care Hospice Inc.
A hospice in Simi Valley, California 93065
1174 Amazon Way, #b, Simi Valley, California 93065. (818) 601-8501.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- Not rated family caregiver rating
- 5of 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?
10 deficiencies cited in the last three years
The middle of the 133 hospices serving ZIP code 93065 had 5.
The last inspection on record was on Mar 4, 2026: an initial 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
10 deficiencies in 1 month of the last 36. Last cited Mar 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.
Mar 4, 2026: initial inspection by the Accreditation Commission for Health Care10 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 164 words
“Upon patient record review, 3 of 14 (Patients #1,2,3) 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 #1: During medication reconciliation in patient home, patient has been taking fish oil and Vitamin D3. These meds were not included on the hospice medication profile. Patient #2: During medication reconciliation in patient home, the hospice medication profile indicated Glucosamine 200 mg 4 caps daily and patient is taking 500mg BID. Also, medication profile indicated Turmeric 500 mg 2 caps daily and patient is taking 4 caps daily. Patient #3: During medication reconciliation in patient home, the hospice medication profile indicated Multivitamin (MVI) daily. The patient is taking MVI with minerals daily.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 128 words
“Upon patient record review, 6 of 14 (Patients # 4,5,9,10,11,12) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #4: No contact information for bereaved family member. Patient declined visit during the first 5 days of care, the bereavement risk assessment was not completed until 3/3/26. Patients 5,9,10,11,12: Patient declined visit during the first 5 days of care, the bereavement risk assessment was not completed until 3/3/26.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 107 words
“Upon patient record review, 2 of 14 (Patients #2,3) 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: During medication reconciliation in patient home, the hospice plan of care indicated Glucosamine 200 mg 4 caps daily and patient is taking 500mg BID. Also, plan of care indicated Turmeric 500 mg 2 caps daily and patient is taking 4 caps daily. Patient #3: During medication reconciliation in patient home, the hospice plan of care indicated Multivitamin (MVI) daily. The patient is taking MVI with minerals daily.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 131 words
“Upon patient record review, 4 of 14 (Patients #1,5,7,8) 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 equipment and supply needs. Patient #1: This patient had a nebulizer machine, wheelchair, walker and cane. These were not included on the plan of care. Patient #5: This patient had a cane. This was not included on the plan of care. Patient #7: The record reflected that this patient had a walker, wheelchair, shower chair, nebulizer machine, suction machine and oxygen. These were not included on the plan of care Patient #8: The record reflected that this patient had a walker, nebulizer machine, suction machine, and oxygen. These were not included on the plan of care.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 92 words
“Upon client record review, 2 of 14 (Patients #3,8) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3: The POC listed LVN visit frequency of, 1 X’s per week. For benefit week 2/1/26 and 2/8/26 the LVN did not visit, instead it was an RN that made a visit for these weeks. Patient #8: The POC listed Social Worker (SW) visit frequency of, 1 X’s per month. There were no visits provided by SW in February 2026.”
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Counseling services (42 CFR 418.64(d)(1))
“Upon patient record review, 2 of 14 (Patients #13,14) did not have evidence the hospice offers bereavement counseling that includes: • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patients #13,14: The 13-month bereavement plan of care in the EMR is not being fully populated to reflect required follow-up frequencies. Documentation is currently limited to ad-hoc mailing notes, rather than a structured, scheduled plan of care.”
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Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 13 (Personnel #10) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient or pseudo patient: ·Reading and recording temperature-rectal ·Toileting and elimination-bedpan”
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Professional management responsibility (42 CFR 418.100(e))
“Upon contract review, 1 of 4 (Fidelity Care contract PT/OT/ST) did not have evidence the agreement to furnish any services under arrangement included that the hospice must retain administrative and financial management, and oversight of staff and services for all arranged services, to ensure the provision of quality care. Arranged care/services are supported by written contract/agreement that requires all care/services are: • Furnished in a safe and effective manner by qualified personnel”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 14 of 14 (Patients #1,2,3,4,5,6,7,8,9,10,11,12,13,14) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #1: The Hospice Medicare Election statement does not provide BFCC-QIO contact information. Additionally, the effective date to begin hospice was left blank in space provided on the form. Patients #2,3,4,5,6,7,8,9,10,11,12,13,14: The Hospice Medicare Election statement does not provide BFCC-QIO contact information.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon client record review, 2 of 14 (Patients #11,12) did not have evidence that the discharge summary includes all required CMS information. Patient 11: Missing CMS requirements for discharge summary as follows: • The patient’s current plan of care • The patient’s latest physician orders Patient #12: Missing CMS requirements for discharge summary as follows: • The patient’s current plan of care”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 4, 2026 | Initial inspection by the Accreditation Commission for Health Care | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 4, 2011.
- 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): 6.4 nurse care minutes per routine home care day, 7.4% of skilled nursing minutes at weekends and a visit near death for 41.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 88% at home, 6% in assisted living, 7% 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 | 6.4 min |
| Skilled nursing minutes at weekends | 7.4% |
| Visits near death | 41.5% of patients who died |
Who owns it?
- 17 owners or officers are people: Maria Chavez (owns 5% or more directly, 40%); Maria Chavez (corporate officer, 40%); Maria Chavez (runs it (operational or managerial control), 40%); Archana Thukral (owns 5% or more directly, 30%); Archana Thukral (corporate officer, 30%); Archana Thukral (managing employee (on the payroll), 30%); Archana Thukral (runs it (operational or managerial control), 30%); Alexandra Segura (owns 5% or more directly, 15%); Alexandra Segura (corporate officer, 15%); Alexandra Segura (corporate director, 15%); Alexandra Segura (managing employee (on the payroll), 15%); Alexandra Segura (runs it (operational or managerial control), 15%); Vijay Kumar (owns 5% or more directly, 15%); Vijay Kumar (corporate officer, 15%); Vijay Kumar (corporate director, 15%); Vijay Kumar (managing employee (on the payroll), 15%); Nelli Hovsepyan (managing employee (under contract), 0%).
- 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.
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: 5 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 90.24% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 0% 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 | 5 of 10 |
How does it compare nearby?
- Of the 133 hospices CMS’s data show serving patients in ZIP code 93065, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; 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 |
|---|---|
| Hospice Care of the Valley Inc. | 1 |
| A & C Health Care Unlimited LLC | Not given |
| Sebastian Hospice Care Inc. | 64 |
| Ultimate Great Care Hospice Inc. This hospice | 10 |
| Adventist Health Home Care Services | 5 |
| Guardian Angel Hospice, Inc. | 8 |
| Serenity Point Hospice Care, Inc. | Not given |
| Heavenly Gates Hospice, Inc. | 6 |
| Comforting Care Hospice, Inc. | 7 |
| A-Z Hospice, Inc. | Not given |
| Tru Hospice, Inc. | 6 |
| Passages Hospice Care, Inc. | 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.