Heart 2 Heart Hospice Care, Inc.
A hospice in Burbank, California 91504
2908 N Naomi St Suite A, Burbank, California 91504. (818) 972-1111.
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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.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 131 hospices serving ZIP code 91504 had 5.
The last inspection on record was on Sep 19, 2024: 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
9 deficiencies in 1 month of the last 36. Last cited Sep 2024. 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.
Sep 19, 2024: reaccreditation inspection by The Joint Commission9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Tracer Activities. The hospice had not defined when more in-depth assessments should be performed. In the chart for RRNHV#7, the patient was identified during the course of care to have mild to moderate depression and had an antidepressant ordered. It was confirmed with the QAPI Nurse that the organization had not defined when a more in-depth assessment of depression severity should be performed.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 100 words
“Observed in Record Review. In 2 of 14 patient records reviewed, the written plan of care was not based on the patient’s goals and the time frames, settings, and services required to meet those goals. In the chart for RRNHV#5, for the problem of family lacks coping skills, the goal of MSW will provide support to Pt and PCG to express feelings and emotions. is not a goal, rather an intervention. In the chart for RRNHV#8, the primary caregivers are monitoring the patient’s blood sugars. There is no goal on the plan of care. This was discussed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 119 words
“Observed in Record Review. In 3 of 14 patient records reviewed, the hospice plan of care did not include all services needed for the palliation and management of the terminal illness and related conditions. In the chart for RRNHV#4, the nursing staff was documenting the patient’s blood sugars. This treatment was not included on the hospice plan of care. In the chart for RRNHV#8, nursing notes that family is monitoring blood sugars. this is not on the plan of care. In the chart for RRNHV#7 the medication orders were unclear as there are two medications ordered q 6 hours prn for moderate pain with no further clarification for when to administer which medication. This was discussed with the DPCS.”
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Review of the plan of care (42 CFR 418.56(d))
“Observed in Record Review. In 1 of 14 patient records reviewed, the plan of care revisions did not address the patient’s progress toward goals. In the chart for RRNHV#8, the goal of no aspiration during the current benefit period has a target date of the last day of two benefit periods ago. The goal of oxygen saturation of 92% during the current benefit period has a target date more than 6 months prior to the date of the survey. This was discussed with the DPCS.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 1 of 14 patient records reviewed, the organization had not provided the patient with care, treatment, or services according to the patient’s individualized plan of care. In the chart for RRNHV#5, the LVN documented the patient is using oxygen at 9-10 liters/minute. The order for oxygen is only up to 5 liters/minute. This was discussed with the DPCS.”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 2 of 2 patient records reviewed, the hospice had not developed a bereavement plan of care that specified the type of bereavement services to be offered and the frequency of service delivery. In the charts for RRBR#13 and RRBR#14, the bereavement plan of care did not include the frequency of service delivery and simply stated Bereavement Letters / Material through out the first year. This was discussed with the DPCS and QAPI nurse.”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 1 of 1 HR files reviewed, the hospice aide competency evaluation did not include the following skills: appropriate and safe techniques in personal hygiene that included a shower bath. In the record for HR#3, there was no documented observation of a shower bath upon hire. It was confirmed with the Administrator that the aide had performed a shower bath on a hospice patient.
”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 175 words
“Observed in Record Review. In 3 of 13 patient records reviewed, in which aide services were ordered, the registered nurse who is a member of the interdisciplinary group and is responsible for hospice aide supervision had not prepared accurate written patient care instructions for the hospice aide. In the chart for RRHV#1, the aide assignment sheet instructed the aide to provide a shower with a chair. The patient’s plan of care ordered the patient to be bed bound. In the chart for RRNHV#6, the patient is non-ambulatory yet the aide assignment is for a shower twice weekly with no adaptive equipment, like a shower chair. In the chart for RRNHV#9, the Aide plan of care had not been updated. In the most recent IDG meeting, the notes indicated the patient is now completely bed bound. The aide assignment indicated a shower was to be provided and had not been updated since the admission approximately 11 months prior to the survey. The aide continues to document that a shower is provided.This was discussed with the DPCS.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 135 words
“Observed in Record Review. In 3 of 14 patient records reviewed, the patient record did not contain information that reflected the patient’s care, treatment or services. In the chart for RRNHV#5, the current medication list in the electronic medical record had not been updated. The list included Levaquin for seven days which was started more than six weeks prior to the survey. In the chart for RRNHV#7, there was a nursing visit note for a visit conducted 8 calendar days prior to the day of review without any documentation in the note. In the chart for RRNHV#9 there is a RN visit performed 6 calendar days prior to the day of review which included no documentation. Organizational policy required that clinical documentation must be submitted within 3 business days. This was discussed with the DPCS.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 19, 2024 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 20, 2014.
- 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): 13.1 nurse care minutes per routine home care day, 8.5% of skilled nursing minutes at weekends and a visit near death for 80% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 81% at home, 17% in assisted living, 2% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.1 min |
| Skilled nursing minutes at weekends | 8.5% |
| Visits near death | 80.0% of patients who died |
Who owns it?
- 4 owners or officers are people: Adrine Dilanchyan (managing employee (on the payroll), 100%); Adrine Dilanchyan (runs it (operational or managerial control), 100%); Arpine Bagumyan (owns 5% or more directly, 100%); Arpine Bagumyan (corporate director, 100%).
- 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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 67% rated it 9 or 10 out of 10, and 61% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.26% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 4.8% 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 131 hospices CMS’s data show serving patients in ZIP code 91504, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 |
|---|---|
| Heart 2 Heart Hospice Care, Inc. This hospice | 9 |
| Pride Hospice Care, Inc. | 18 |
| Angelino Hospice Care, Inc. | Not given |
| Pristine Hospice Care | 8 |
| Bright Journey Hospice, Inc. | Not given |
| Caring Hands Hospice LLC | Not given |
| Every Day Hospice Care, Inc. | 0 |
| Blooming Rose Hospice, Inc. | 6 |
| Country Club Hospice, Inc. | Not given |
| Citywide Hospice Care, Inc. | 3 |
| Integrity Hospice Inc. | Not given |
| Valley’s Best 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.