R C Hospice Care, Inc.
A hospice in Rancho Cordova, California 95670
10850 Gold Center Dr., Suite 100, Rancho Cordova, California 95670. (916) 858-1440.
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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.
- 8 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 9of 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?
8 deficiencies cited in the last three years
The middle of the 38 hospices serving ZIP code 95670 had 6.
The last inspection on record was on Sep 13, 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
8 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 13, 2024: reaccreditation inspection by The Joint Commission8 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 121 words
“Observed in Individual Tracer. In 10 of 14 patient records reviewed, Confirmed by the COO. The written plan of care had not documented individualized measurable goals. Example: During review of HOSv#2 the patient goals had not been measurable. Goal #1 had documented that the patient will be supported with resources and emotional support. All goals had a target date of end of certification. Goals documented had been interventions provided. Example: The Patient /CG will demonstrate to the nurse how to give Ativan for nausea. During review of HOS rr#6 The plan of care had not documented the problem, intervention or goal for treatment provided in SN notes. The SN note had documented that the decubitus ulcer had been treated per orders.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Individual Tracer. In 1 of 14 hospice records reviewed and confirmed by the COO. The updated plan of care had not contained the scope and frequency for the volunteer services being utilized for respite services. Example: During review of HOSrr#2 a MSW note identified a need for a volunteer for respite services, but had not updated the plan of care .
”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 263 words
“Observed in Individual Tracer. In 3 of 14 patient records reviewed, Confirmed by the COO. The patient plan of care had not included the treatments necessary to meet the patient needs. Example: During review of HOSv#3 the SN note had documented that a foley catheter had been initiated per physician order . The SN note had been providing a straight catheterization weekly. The plan of care had not been updated to document the intervention provided. During observation of HHv#2 and confirmed by the COO. The patient had a pickwick for urinary drainage and incontinence per a physician order. The plan of care had not been updated to include incontinence and the intervention for the placement and care of the pickwick drainage system . During review of HOS rr#6 The plan of care had not documented the problem or intervention . The SN note had documented that the decubitus ulcer had been treated per physician orders. The plan had not been updated to document the problem and intervention to be provided . Observed in Individual Tracer. In 2 of 14 patient records reviewed, PRN medication orders had not been accurate for treatment of a similar symptom. This had been confirmed by the COO. Example: During review of HOSv#1 and HOSv#3 Medication had been ordered for duplicate therapy, but had not indicated which to utilize first such as Morphine 20mg 1 tab every 1 hour prn for pain . Tylenol 350mg 1 tab prn for pain. HOSv#3 had documented Oxycodone 5mg 1 tab po prn for pain and Morphine 20mg 1 tab prn for pain.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 111 words
“Observed in Individual Tracer. In 2 of 10 patient records reviewed, that had been current active patients. The Hospice aide plan of care had not been updated to reflect the care being proved. Example: During observation of HOSv#1 . Care had not been provided as identified in the POC . The HHA had provided a bed bath, however the plan of care had documented that a shower be provided. The HHA note had documented that a shower had been provided per plan of care, but a bed bath had been provided. The COO had stated and confirmed that the plan of care had not been updated as the patient physically declined.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
“Observed in Individual Tracer. In 2 of 3 patient records reviewed, receiving personal care by the Home health Aide and confirmed by the COO. Example: During observation of HOSv#1 and HOSv#3 . Care had not been provided as identified in the POC . The HHA had provided a bed bath, however the plan of care had documented that a shower be provided. The HHA note had documented that a shower had been provided per plan of care, but a bed bath had been provided.”
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Content (42 CFR 418.104(a)(3))
“Observed in Individual Tracer. In 1 of 14 Hospice patient records review and confirmed by the COO. During patient record review of HOSrr#2 there had not been documentation by the volunteer for service provided.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Patient Home. In 3 of 3 home visits conducted, Confirmed by the COO. The organization had not provided the patient and family procedures to follow during an emergency or education with equipment. During observation of HOSv#1 , HOSv#2 and HOSv#3 there had not been an individual Emergency plan completed in the home. The individual plan remained blank and had not been completed. During observation of HOSv#1 the family had stated that they had not received education on the use or care of the oxygen concentrator and e tank.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(6))
“Observed in Leadership Session. During review of Hospice contracts to include Respite services, Medications and DME services and discussion with the Administrator. It had been confirmed that the Hospice had not evaluated its contracted services annually as identified in the Hospice policy. This had been confirmed by the COO.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 13, 2024 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 25, 2015.
- 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): 16.9 nurse care minutes per routine home care day, 7.7% of skilled nursing minutes at weekends and a visit near death for 92.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 73% at home, 27% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 16.9 min |
| Skilled nursing minutes at weekends | 7.7% |
| Visits near death | 92.1% of patients who died |
Who owns it?
- 7 owners or officers are people: Oksen Nersisyan (owns 5% or more directly, 100%); Oksen Nersisyan (corporate officer, 100%); Hussam Kujok (managing employee (under contract), 0%); Kimi Costar (managing employee (on the payroll), 0%); Ester Nersisyan (managing employee (under contract), 0%); Ester Nersisyan (corporate officer, 0%); Ester Nersisyan (corporate director, 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?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.14% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 39.5% 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 | 4 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 | 9 of 10 |
How does it compare nearby?
- Of the 38 hospices CMS’s data show serving patients in ZIP code 95670, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 8.
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 |
|---|---|
| Uc Davis Hospice Program | Not given |
| Mercy Hospice | 12 |
| R C Hospice Care, Inc. This hospice | 8 |
| Applied Palliative and Hospice Services, Inc. | 5 |
| Interim Healthcare Hospice - Sacramento Area | 4 |
| Better Choice Hospice Inc. | 4 |
| Kaiser Foundation Hospital - Hospice | 3 |
| Snowline Health | 7 |
| Yolo Hospice | 12 |
| Sutter Care at Home | 2 |
| First Call Hospice | 6 |
| Vitas Healthcare Corporation of California | 1 |
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.