Lifecare Solutions Palliative and Hospice
A hospice in Dublin, California 94568
7567 Amador Valley Blvd., Suite 101, Dublin, California 94568. (510) 573-2523.
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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
- 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?
7 deficiencies cited in the last three years
The middle of the 37 hospices serving ZIP code 94568 had 6.
The last inspection on record was on Oct 9, 2025: 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 Oct 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.
Oct 9, 2025: reaccreditation inspection by The Joint Commission7 deficiencies
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Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Record Review. In 1 of 14 patient records reviewed, the nurse surveyor oxygen 2 liters via nasal cannula was order prn shortness of breath and oxygen saturation of less than 90%. For RRNHV#2, the clinical documentation for the initial assessment and two recertifications documentation stated no oxygen in the assessments although the option to select prn is a choice but was left blank. In review of the safety assessment for oxygen the documentation shows facility managed, because patient resides in an assistive living facility.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 2 of 14 patient records reviewed, the goals were not specific to the needs of the patient. Fo RRHV#2, pt will exhibit a decrease in pain-related behaviors, lungs will be clear at end date of the benefit period; For RRHV#1; patient is on an antibiotic ointment for his eye infection; goal is the improve redness and drainage from eyes by the end of the benefit period. This was discussed with the administrator and dcps.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 6 of 14 patient records reviewed, the surveyor noted for RRNHV#1 and RRNHV#2, RRHV#1, RRHV#3, RRBR#1, RRBR#2, the prn visits was quantified but there was no additional information on the plan of care to determine what qualifies as a prn visit. This was discussed with the administrator.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 95 words
“Observed in Record Review. In 1 of 14 patient records reviewed, the nurse surveyor noted the nursing assistant did not follow the ordered frequency of visits. For example, for RRHV#1 the frequency of nursing assistant visits was ordered to be 2xwk, however there was only one visit conducted during one week of the first benefit visit. There was no documentation by the nursing assistant of the missed visit. In addition, based on the manual tracking of missed visits, the agency was aware of the missed visit. This was discussed with the administrator and the dcps.”
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Coordination of services (42 CFR 418.56(e)(4))
The inspectors’ words, 152 words
“Observed in Record Review. In 1 of 14 patient records reviewed, the nurse surveyor noted there were missed visits, but the physician was not notified. In RRHV#1, there was missed visits for the home health aide in the first benefit period and the agency was aware, however there no documentation to show the physician was notified. This was discussed with the administrator and dcps. Observed in Record Review. In 1 of 14 patient records reviewed, the nurse surveyor noted there was an order on the plan of care to perform a respiratory assessment and notify agency and physician if oxygen saturation is less than 88%. For RRNHV#7, clinical documentation showed evidence the patient’s oxygen saturation was 86% and the patient was short of breath with the degree of shortness of breath being documented as moderate, however there was no documentation the physician was notified. This was discussed with the administrator and dpcs.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 1 of 14 patient records reviewed, the nurse surveyor noted in RRNHV#4, the patient had a foley catheter, however in review of the hospice aid plan of care there were no specific instructions provided to the aid in regards to the catheter care. This was discussed with the administrator and dcps.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 1 of 2 patient records reviewed, the nurse surveyor noted the agency did not provide the physician with the discharge summary after the patient revoked hospice services. This was discussed with the administrator and dcps.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 9, 2025 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 16, 2016.
- 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): 20.5 nurse care minutes per routine home care day, 8.1% of skilled nursing minutes at weekends and a visit near death for 95.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 52% at home, 48% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 20.5 min |
| Skilled nursing minutes at weekends | 8.1% |
| Visits near death | 95.2% of patients who died |
Who owns it?
- 7 owners or officers are people: Alejandria Bautista (owns 5% or more directly, 50%); Romulo Bautista (owns 5% or more directly, 25%); Daisy Bautista (owns 5% or more directly, 12.5%); Andro N Bautista (owns 5% or more directly, 12.5%); Daisy Bautista (managing employee (on the payroll)); Romulo Bautista (managing employee (on the payroll)); Andro N Bautista (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?
- 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).
- 85.9% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 48.9% 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 37 hospices CMS’s data show serving patients in ZIP code 94568, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Lifecare Solutions Palliative and Hospice This hospice | 7 |
| Star Care Hospice, Inc. | 18 |
| Direct Hospice Care, Inc. | 0 |
| Hospice of the East Bay | 7 |
| Kaiser Foundation Hospital Hospice - Martinez | 2 |
| Sutter Care at Home | 3 |
| Hope Hospice | 5 |
| Vitas Healthcare Corporation of California | 1 |
| Asian Network Hospice, Inc. | Not given |
| Vitas Healthcare Corporation of California | 8 |
| Bristol Hospice- Stockton | 6 |
| Prohealth Home Care, Inc. | 0 |
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.