Family First Hospice, Inc.
A hospice in Paramount, California 90723
15317 Paramount Blvd Suite 205, Paramount, California 90723. (562) 630-2300.
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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.
- 4 deficiencies cited in the last three years
- Not rated family caregiver rating
- Not available 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?
4 deficiencies cited in the last three years
The middle of the 132 hospices serving ZIP code 90723 had 6.
The last inspection on record was on Jan 23, 2026: 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
4 deficiencies in 1 month of the last 36. Last cited Jan 2026. 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.
Jan 23, 2026: reaccreditation inspection by The Joint Commission4 deficiencies
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Patient outcome measures (42 CFR 418.54(e)(2))
The inspectors’ words, 157 words
“Observed in Record Review. In 2 of 5 patient records reviewed, the organization failed to maintain a complete and accurate patient record. During record review for HOSRRHV#1 and HOSRRHV#3, the Hospice Nurse Surveyor observed some discrepancies in the patient record. For example in both records, the nurse documentation at SOC did not mention the patient had previously been on hospice and there were no notations in IDG that the patient had previously been on hospice. The EMR generated a hospice recertification at 60 days, which was completed. There was still no mention that the patient was now in the 3rd benefit period. Also noted on both patients, the certification of terminal illness at SOC from current episodes stated I have reviewed the clinical information prior to recertification and pt is still considered terminally ill but both patients were being brought back onto hospice after revoking several years earlier. This was discussed and reviewed with the Admin/ DPCS.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 207 words
“Observed in Record Review. In 3 of 3 patient records reviewed, the organization failed to plan the patient’s care. During record review for HOSRRHV#1, HOSRRHV#2, and HOSRRHV#3, the Hospice Nurse Surveyor observed the patients plan of care and documentation did not contain progress towards goals. For example in HOSRRHV#1, the patient had a goal of In 2 weeks and while in hospice care, patient will have no unusual bleeding or bruising from anticoagulant therapy. This goal was placed at SOC 4 months prior to survey and there was no documentation of progression of the goal. In HOSRRHV#2, the patient had a goal of in 2 weeks and while on hospice care, the patient/PCG/ Family will be able to cope with the disease/ dying process in anticipation of grief. This goal was placed at SOC 4 months prior to survey and not updated and there was no progress towards the goal. In HOSRRHV#3, the patient had a goal of in 2 weeks and while on hospice care, patient will have skin comfort with no exacerbation as evidenced by relieved dry skin r/t eczema. This was placed on all previous episodes and there was no progress towards this goal documented. This was discussed and reviewed with the Administrator/ DPCS.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. During the Volunteer Program session with the Volunteer Coordinator, the organization did not show evidence its volunteer program had provided day-to-day administrative or direct patient care in an amount that equaled 5% of the total patient care hours of all paid hospice employees and contract staff. The organization had an overall percentage of 2.9%. This was discussed and verified with the Administrator/ DPCS.”
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Recertification of the terminal illness (42 CFR 418.102(c))
“Observed in Record Review. In 1 of 5 patient records reviewed, the organization failed to reassess its patient’s. During record review for HOSRRHV#3, the Hospice Nurse Surveyor observed the patient began a new benefit period the same day as survey began but he did not have a certification of terminal illness in place for that benefit period. This was discussed and reviewed with the Administrator/ DPCS.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 23, 2026 | Reaccreditation inspection by The Joint Commission | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 15, 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 9 owners or officers are people: Christina D Festejo (managing employee (on the payroll), 100%); Michael Keith D Festejo (corporate officer, 100%); Khai Q Tran (managing employee (under contract), 100%); Marc Lester D Festejo (corporate officer, 100%); Marc Lester D Festejo (managing employee (on the payroll), 100%); Henjie Oliver D Festejo (corporate officer, 100%); Michael Keith D Festejo (owns 5% or more directly, 33.33%); Marc Lester D Festejo (owns 5% or more directly, 33.33%); Henjie Oliver D Festejo (owns 5% or more directly, 33.33%).
- 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 gives no Hospice Care Index for this hospice.
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 132 hospices CMS’s data show serving patients in ZIP code 90723, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 4.
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 |
|---|---|
| Family First Hospice, Inc. This hospice | 4 |
| Kaiser Foundation Hospital Hospice Program | 3 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Hospice of Presbyterian | 8 |
| Memorialcare Hospice and Palliative Services | 9 |
| Vitas Healthcare Corporation of California | 23 |
| Silverado Hospice Inc. | 16 |
| Hope International Hospice, Inc. | 18 |
| Accentcare Hospice & Palliative Care of California- Los Angeles | 6 |
| Grace Hospice, Inc. | 10 |
| Bristol Hospice- Greater Los Angeles | 8 |
| Active Hospice Care, Inc. | 5 |
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.