Roze Room Hospice of San Gabriel Valley
A hospice in Pasadena, California 91107
2700 E Foothill Blvd Suite 200, Pasadena, California 91107. (626) 446-7673.
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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.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 131 hospices serving ZIP code 91107 had 5.
The last inspection on record was on Dec 8, 2023: 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
7 deficiencies in 1 month of the last 36. Last cited Dec 2023. 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.
Dec 8, 2023: reaccreditation inspection by The Joint Commission7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(8))
“Observed in Record Review. In 14 of 14 patient records reviewed, the Hospice Surveyor had been unable to validate that a Volunteer had been offered to the patient/family. In all records reviewed, the documentation that patient/family need for volunteer services had been evaluated and offered. In discussion with the HCO Leadership, the process for documentation had not been standardized so the information was not readily retrievable.”
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Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Record Review. In 2 of 14 patient records reviewed, the Hospice Surveyor had been unable to validate the care was provided as ordered as the documentation had not been clear. For example, RRNHV #12 and RR #13, the Hospice Aide (HA) had orders to provide either a shower or a bed bath; however, the HA had documented that she had provided both a bed bath and a shower. This was validated with the VP of Clinical Operations.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 122 words
“Observed in Record Review. In 14 of 14 patient records reviewed, the Hospice Surveyor noted patient plan of care (POC) goals had been generic, not specific to the patient, nor measurable. Examples include: for Pain: Patient/Caregiver verbalize pain is controlled within their desired comfort level at each visit (identify acceptable comfort), For constipation: Pt will have BM at least every 3 days (even in a record that stated the patient normally had a BM every 5 days). For Falls: Patient practices safe mobility and transfer techniques and Pt will experience a decrease # of falls ( in a record where a patient had no recorded falls). This was observed in all patient records. This was validated with the VP of Clinical Operations.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 382 words
“Observed in Record Review. In 8 of 14 patient records reviewed, the Hospice Surveyor noted medication or care orders that had been incomplete. For example, RRHV #4, the patient had Benadryl ordered as needed for itching, however, there had not been a specific site of application noted. In RRNHV #6, the patient had both Morphine Sulfate by mouth solution 4 hrs sl as needed for pain and Norco 5-325 1 tab every 6 hours as needed for pain, without clear indications for as needed use. RRNHV #8 the patient had 2 constipation medications without clear indications for use. RRNHV #10 the patient had Diclofenac cream and Namyc powder ordered to apply to affected area, and Morphine and Ativan both ordered as needed for shortness of breath. In RRNHV #11, the patient had Morphine, oxycodone, Norco and Acetaminophen ordered as needed for pain. RRNHV #12 the patient had both a Lidocaine patch and diclofenac cream ordered to apply to the affected area, and Norco and Morphine both ordered as needed for pain. RRNHV #13 the wound care orders had not contained who was to complete the care and RRNHV #14 diclofenac cream ordered to apply to the affected area. This was validated with the VP of Clinical Operations. Observed in Record Review. In 8 of 14 patient records reviewed, the Hospice Surveyor noted the patient plan of care (POC) had not contained all treatments related to the patient specific care needs. For example, RRHV #1, the patient had alternate issues with diahhrea and constipation, yet this had not been included on the POC. RRNHV #5, the patient had been having problems with nausea, but the poc had been missing nausea and GI. RRNHV #9, the patient had issues with urinary tract infections and constipation; however, POC had been missing genitourinary and gastrointestinal interventions. In RRNHV #10, the POC had been missing pressure injury and uti prevention; RRNHV #11, GU/UTI prevention had been missing from the POC. also on this patient, Trach care had been on the poc for 4 weeks, but the patient had not had a trach. In RRNHV #12, RRNHV #13, and RRNHV #14, the patients had been bed bound but the POC had not addressed Pressure Injury Prevention and skin care. This was validated with the VP of Clinical Operations.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 3 of 4 home visits conducted, the Hospice Surveyor observed the clinician providing care had not disinfected equipment utilized during patient care with the HCO specified cleansing agent of alcohol wipes. In RRHV #1 and RRHV #2, the clinician had used Clorox wipes to clean the equipment, and RRHV #3, the clinician disinfected the equipment with wipes from an unlabeled baggie. This was validated with the DPCS present during the visits.”
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Recruiting and retaining (42 CFR 418.78(c))
“Observed in Tracer Activities. The Hospice Surveyor had been unable to validate active recruitment activities as there had been no supporting documentation. This was validated with the Volunteer Coordinator and Leadership present during a review of the Volunteer program.
”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 100 words
“Observed in Patient Home. In 1 of 4 home visits conducted, the Hospice Surveyor noted the medication list in the electronic medical record (EMR) had not contained all the medications the patient was being administered, or did not reflect the accurate dosing. In RRHV #1 the patient had Catapres that the patient had been taking two times per day for a long time; however the patient EMR profile reflected one time per day dosing. The same patient also had Dulcolax tablets that she had been taking as needed for constipation. This was validated with the DPCS present during the visit.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 8, 2023 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 19, 2012.
- 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): 14.5 nurse care minutes per routine home care day, 12.3% of skilled nursing minutes at weekends and a visit near death for 89.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.5 min |
| Skilled nursing minutes at weekends | 12.3% |
| Visits near death | 89.5% of patients who died |
Who owns it?
- 12 owners or officers are people: Lena Michelle Beker (owns 5% or more directly, 33.4%); Lena Michelle Beker (corporate officer, 33.4%); Lena Michelle Beker (corporate director, 33.4%); Lena Michelle Beker (managing employee (on the payroll), 33.4%); Raisa Adler (owns 5% or more directly, 33.3%); Raisa Adler (corporate officer, 33.3%); Raisa Adler (corporate director, 33.3%); Semion A Beker (owns 5% or more directly, 33.3%); Semion A Beker (corporate officer, 33.3%); Semion A Beker (corporate director, 33.3%); Ana L Cartmel (managing employee (under contract)); Lorraine Borden (managing employee (on the payroll)).
- 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?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 77% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.38% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 47.1% 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 | 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 131 hospices CMS’s data show serving patients in ZIP code 91107, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 7.
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 |
|---|---|
| Mission Hospice | 15 |
| Corinthian Hospice, Inc. | Not given |
| Roze Room Hospice of San Gabriel Valley This hospice | 7 |
| Holy Cross Hospice, Inc. | 1 |
| St Elizabeth Hospice Care, Inc. | 4 |
| St Vincent Hospice Services, Inc. | 5 |
| Tender Loving Hospice Care, Inc. | Not given |
| Solid Care Hospice and Palliative Services, Inc. | 3 |
| Atrium Hospice, Inc. | 3 |
| Altadena Hospice Care, Inc. | 6 |
| Gentle Care Hospice Services Corp. | 2 |
| Blue River Hospice, Inc. | 12 |
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.