Carewise Hospice, Inc.
A hospice in Oxnard, California 93030
913 West 7th Street, Oxnard, California 93030. (805) 823-4144.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
6 deficiencies cited in the last three years
The middle of the 106 hospices serving ZIP code 93030 had 5.
The last inspection on record was on Aug 21, 2025: 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
6 deficiencies in 1 month of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Aug 21, 2025: initial inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 14 of 14 (Patients # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patients # 1 - 14) The comprehensive assessments did not contain evidence of the consideration related to the imminence of death.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 153 words
“Upon patient record review, 12 of 14 (Patients # 1, 2, 3, 4, 5, 6, 8, 9, 10, 12, 13, 14) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patients # 1, 2, 3, 4, 5, 6, 8, 9, 10, 12, 13, 14) Orders for the MSW and Spiritual Care did not contain evidence of scope or frequency. The orders where written as MSW and Spiritual Care 1 visit within 5 days and then PRN.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 91 words
“Upon patient record review, 14 of 14 (Patients # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14) 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. Patients # 1 - 14) The plan of care did not contain evidence of supplies. Verified with hospice staff reviewing the log for patients supplies delivered to patients, all patients are or were using adult diapers and wipes.”
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Competency evaluation (42 CFR 418.76(c))
The inspectors’ words, 194 words
“Upon personnel record review, 1 of 11 (Personnel # 8) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·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 ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel # 8) Employee file did not contain evidence of competency assessments for a) Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff, and b) Shampoo, sink, tub, and bed.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 247 words
“Upon patient record review, 4 of 14 (Patients # 3, 9, 13, 14) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient # 3) The aide plan of care dated 4/8/25 did not contain evidence of frequencies for the tasks of turn and reposition, record bowel movement, and feeding assistance. Patient # 9) The aide plan of care dated 7/8/25 did not contain evidence of frequencies for the task of turn and reposition. Patient # 13) The aide plan of care dated 12/1/24 did not contain evidence of frequencies for the tasks of turn and reposition, record bowel movement, encourage fluids if tolerated, clean nails, and change patient linens. Patient # 14) The aide plan of care dated 4/8/25 did not contain evidence of frequencies for the tasks of record bowel movement, encourage fluids if tolerated, and change linens.”
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Training (42 CFR 418.100(g)(1))
“Upon personnel record review, 1 of 11 (Personnel # 3) did not have evidence the hospice employees and contract employees have received orientation on the hospice philosophy. Personnel # 3) Personnel files did not contain evidence of orientation to hospice philosophy at the time of hire.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 21, 2025 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 2, 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): 19.5 nurse care minutes per routine home care day, 6.8% of skilled nursing minutes at weekends and a visit near death for 97.5% 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 | 19.5 min |
| Skilled nursing minutes at weekends | 6.8% |
| Visits near death | 97.5% of patients who died |
Who owns it?
- 10 owners or officers are people: Grace P. Paulino (owns 5% or more directly, 50%); Grace P. Paulino (corporate officer, 50%); Grace P. Paulino (corporate director, 50%); Grace P. Paulino (managing employee (on the payroll), 50%); Grace P. Paulino (runs it (operational or managerial control), 50%); Jason A Colasito (owns 5% or more directly, 50%); Jason A Colasito (corporate officer, 50%); Jason A Colasito (corporate director, 50%); Jason A Colasito (managing employee (on the payroll), 50%); Jason A Colasito (runs it (operational or managerial control), 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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 56.52% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 73.5% 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 | 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 | 8 of 10 |
How does it compare nearby?
- Of the 106 hospices CMS’s data show serving patients in ZIP code 93030, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 6.
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 |
|---|---|
| Carewise Hospice, Inc. This hospice | 6 |
| Mission Hospice of Ventura, LLC | 3 |
| Livingston Memorial Visiting Nurse Association - H | 2 |
| Vitas Healthcare Corporation of California | 3 |
| Access Tlc Hospice | 4 |
| Assisted Home Hospice | 3 |
| Mission Hospice Services of Los Angeles LLC | 7 |
| Buena Vista Hospice | 4 |
| Roze Room Hospice of Ventura | 4 |
| South Valley Hospice Services, Inc. | 28 |
| Mission Hospice Services of San Diego LLC | 3 |
| California Hospice Corp. | 2 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.