A-1 Hospice
A hospice in Huntington Beach, California 92649
5011 Argosy Ave Suite 5, Huntington Beach, California 92649. (562) 989-8200.
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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
- 9of 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 82 hospices serving ZIP code 92649 had 8.
The last inspection on record was on Mar 26, 2025: a reaccreditation 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 Mar 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.
Mar 26, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Competency evaluation (42 CFR 418.76(c)(1))
The inspectors’ words, 311 words
“It is required that all hospice aide services must be provided by an individual who has successfully completed a training and competency evaluation program. The competency evaluation addresses each of the following subject areas. It is evaluated by observation of an aide’s performance with a patient or pseudo-patient, including communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff; reading and recording temperature, pulse, and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks, including bed bath, sponge, tub, and shower bath, hair shampoo (sink, tub, and bed), nail and skin care, oral hygiene, toileting and elimination, safe transfer techniques and ambulation, normal range of motion and positioning. This standard was not met as evidenced by document review, interview and personnel record review. In 1 of 1 (100%) personnel record reviews of a hospice aide revealed the agency did not ensure that all personal hygiene and grooming tasks were observed as competent by a Registered Nurse. DOCUMENT 1: The agency’s policy “Competency Assessment (Policy No. 1-008.1)” dated October 2010, read in part that “...Competency Assessments will be completed at least one (1) time per year...Using a Competency Skills Performance Checklist, the Supervisor will evaluate the competence in performing and rendering care...” PERSONNEL RECORD 4: The Hospice Aide was hired on 05/03/2021. The hospice aide was out of work in 2023 and returned to work on 07/30/2024. There was no evidence that a Hospice Aide Competency Skills Assessment Checklist was completed upon her return to work or prior to providing patient care. It was confirmed during a joint personnel record review and interview with the Administrator (Personnel Record 1) and the Director of Patient Care Services (Personnel Record 2) on 03/26/2025 that a Hospice Aide Competency Checklist was not completed upon the hospice aide’s return to work on 07/30/2024.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 285 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 8 (12%) clinical records in which hospice aide services were accepted revealed the agency did not ensure that the Registered Nurse provided complete instructions to the hospice aide. CLINICAL RECORD 1: The patient elected hospice care on 02/24/2025. A bilateral buttocks pressure ulcer was noted during the admitting nurse visit on 02/24/2025. A physician’s order of the same date included cleaning the area with normal saline and pat dry. Apply MediHoney to the wound bed, followed by Calcium Alginate, and cover with a silicone foam dressing. Secure the dressing border with MedFix and change the dressing three times a week and as needed if it becomes soiled or loose. The plan of care for the benefit period 02/24/2025 to 06/24/2025 included orders for the hospice aide to visit the patient at home twice a week. The Hospice Aide Plan of Care dated 02/24/2025 included the following tasks to be performed every visit by the aide: bed bath or shower (as the patient tolerates/patient was alert and oriented), pericare, skincare, and check pressure areas. No instruction was included for what the aide should do if the dressing became loose or soiled. PERSONNEL RECORD 2: During an interview with the Director of Clinical Services on 03/26/2025, she confirmed that the aide care plan did not include instructions to the aide regarding the patient’s wound.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 26, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 12, 2013.
- 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): 26.2 nurse care minutes per routine home care day, 12.2% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 98% at home, 2% 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 | 26.2 min |
| Skilled nursing minutes at weekends | 12.2% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- 6 owners or officers are people: Sassan Farjami (managing employee (under contract), 100%); Binita T Trivedi (managing employee (on the payroll), 100%); J Andrei Villanueva (managing employee (on the payroll), 100%); Tushar M Trivedi (owns 5% or more directly, 50%); Tushar M Trivedi (corporate director, 50%); Binita T Trivedi (owns 5% or more directly, 50%).
- 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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 8.3% 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 | 9 of 10 |
How does it compare nearby?
- Of the 82 hospices CMS’s data show serving patients in ZIP code 92649, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; 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 |
|---|---|
| A-1 Hospice This hospice | 2 |
| Lucent Hospice | 36 |
| VNA of Orange County LLC - Hospice | 5 |
| Memorialcare Hospice and Palliative Services | 9 |
| Vitas Healthcare Corporation of California | 3 |
| Accentcare Hospice & Palliative Care of California | 3 |
| Pec Hospice | 20 |
| Providence at Home With Compassus Hospice Care Orange County | 5 |
| Roze Room Hospice | 28 |
| Homereach Hospice | Not given |
| Bristol Hospice-Orange County | 8 |
| Silverado Hospice Inc. | 16 |
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.