Caring Like Family Hospice
A hospice in Marina Del Rey, California 90292
4223 Glencoe Ave Suite B - 109, Marina Del Rey, California 90292. (310) 574-5950.
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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.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 6of 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 71 hospices serving ZIP code 90292 had 8.
The last inspection on record was on Aug 21, 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
6 deficiencies in 1 month of the last 36. Last cited Aug 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.
Aug 21, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of 6 records, the hospice did not conduct and document a patient-specific comprehensive assessment that identifies the patient’s need for hospice care and services. Examples: In RRNHV#2, the initial psychosocial and initial bereavement assessments were not completed per policy by the MSW. This was confirmed with the DON.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 165 words
“Observed in Tracer Visit. In 3 out of 3 records the hospice did not develop an individualized plan of care with measurable goals and time frames. Examples: RRHV#1 examples included the following: 1 -Be able to cope with changes 2- Medication given crushed; 3- HOB will be in 45 degrees 24.7; 4- Feeding will be slow and in small amounts. 5. Pain will remain 0-2/10 pain level with Tylenol routine and sling. RRHV#2 examples: 1- PCG will verbalize understanding that ANOREXIA symptoms is a part of the disease process and the SUPERVISION OF ALL MEALS WITH CUEING WILL BE EFFECTIVE AND the PATIENT WILL NOT SHOW DECREASED MAC. 2-O2 PRN will be utilized by ASLF staff PRN SOB/DYSPNEA to achieve and maintain patient comfort. RRHV#3: 1-PAID CGs will verbalize/demonstrate understanding of medication REGIMEN /and side effects, aspiration precautions and fall precautions 2-Paid PCG will provide adequate food and fluids as the patient tolerates, DUE TO ANXIETY DISORDER AND EX ALZHEIMER’SThis was confirmed by the DON.”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Tracer Visit. In 7 out of 7 records, range orders for oxygen did not have defined parameters and indications for adjusting and/or changing the settings. Examples: In RRHV#1, RRHV2, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3 and RRNHV#4 , the PRN oxygen orders were for a range of 2-5 LPM without defined parameters or indications for adjusting. This was confirmed with the DON.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 188 words
“Observed in Record Review. In 3 of 7 records, the hospice orders did not clearly define the frequency of the services to be provided to meet the needs of the patient and family. Examples:In RRNHV#1 the MSW POC order for benefit period 4 was entered as follows: MSW: 1 As Needed - as needed PSYCHOSOCIAL visits or calls. Frequency changed to PRN PSYCHOSOCIAL C\concerns or new issues. Will follow up randomly to check on how family and CGs are doing. In RRNHV#1 the SC POC order for benefit period #4 was entered as follows: SC: 1 Recert - Change of condition.In RRNHV#3, the MSW POC order for benefit period1 was entered as follows: MSW: 1 As needed and Recert - continuing monthly follow-up calls and offer visits. In RRNHV#3, the SC order for benefit 1 was entered as follows: SC: Recert - change of condition. In RRNHV#4 the MSW order for benefit 9 was as follows: MSW: 1 per Month - Recertifications, and PRN’s new psychosocial needs. The SC orders for benefit 9 were as follows: SC: Recert - change of condition. This was confirmed with the DON.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 3 out of 3 records, the organization did not provide the patient with services according to the patient’s individualized plan of care. Examples: In RRHV#1, there is a missed SW visit during month 1 of benefit period 8. In RRHV#2, there is a missed SW and SC visit during Month 1 of benefit period 8. In RRHV#3, there is a missed SC and SW visit during Month 1 of benefit period 2. This was confirmed by the DON.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 1 of 2 discharge records, the hospice did not provide the patient’s attending physician with a copy of the hospice discharge summary. Examples: A Discharge Summary was not sent to the Attending physician for RRDC#1. This was confirmed by the DON.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 21, 2025 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 12, 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): 12.4 nurse care minutes per routine home care day, 3.8% of skilled nursing minutes at weekends and a visit near death for 68.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 70% at home, 30% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.4 min |
| Skilled nursing minutes at weekends | 3.8% |
| Visits near death | 68.3% of patients who died |
Who owns it?
- 4 owners or officers are people: Debora A Gregory (owns 5% or more directly, 100%); Debora A Gregory (corporate officer, 100%); Debora A Gregory (managing employee (on the payroll), 100%); Debora A Gregory (corporate director).
- 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: 6 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 20% 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 | 6 of 10 |
How does it compare nearby?
- Of the 71 hospices CMS’s data show serving patients in ZIP code 90292, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; 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 |
|---|---|
| Caring Like Family Hospice This hospice | 6 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Kaiser Foundation Hospital Los Angeles - Hospice | 3 |
| Roze Room Hospice | 28 |
| Vitas Healthcare Corporation of California | 23 |
| Hope International Hospice, Inc. | 18 |
| Vnacare | 8 |
| Accentcare Hospice & Palliative Care of California- Los Angeles | 6 |
| Bristol Hospice- Greater Los Angeles | 8 |
| Active Hospice Care, Inc. | 5 |
| Ziba Hospice LLC | 10 |
| Bristol Hospice- Northern Los Angeles | 7 |
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.