Oxford Hospice Care, Inc.
A hospice in Montclair, California 91763
4650 Arrow Hwy Suite F3, Montclair, California 91763. (909) 474-7105.
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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
- Not rated family caregiver rating
- 7of 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?
8 deficiencies cited in the last three years
The middle of the 146 hospices serving ZIP code 91763 had 7.
The last inspection on record was on Jun 12, 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
8 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 12, 2025: reaccreditation inspection by The Joint Commission8 deficiencies
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Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 114 words
“Observed in Individual Tracer. In 5 of 10 patient records reviewed, the comprehensive assessment were not updated by all members of the interdisciplinary group. In RR#1 the chaplain, the social worker, and the MD signed at least 3 IDT notes however the sections designated for updates were left blank. RR#2 was seen by a podiatrist and the subsequent IDT was not updated related to this visit. Additionally, at least 1 IDT note was signed by the chaplain and MD however the sections for updates were left blank. RR#3, RR#5, and RR#7 had IDT(s) signed by the MD however the section for updates were left blank. This observation was discussed with the performance improvement LPN.”
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Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Individual Tracer. In 1 of 10 patient records reviewed, did not have accurate documentation in the record. Based on a review of the record of RR#8, the chaplain documented a assessment visit that had a date which preceded the start of care date for the patient. Per the performance improvement LPN, who spoke with the chaplain, there was issues with the electronic medical record at the time.”
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Plan of care (42 CFR 418.56(b ))
The inspectors’ words, 179 words
“Observed in Individual Tracer. In 4 of 10 patient records reviewed, the hospice care plan goals were not measurable, individualized, or appropriate. RR#1 had the following goals- Patient will have an acceptable level of pain, the patient will have less cardiac symptoms, and blood sugar will be stable. RR#2- BP will be managed within 4 weeks, at the end of the certification period PCG and family will verbalize understanding regarding disease process and safety precautions related to oxygen. RR#6 -nausea and vomiting will be managed with Zofran by the end of certification. There was no further qualification of these goals. RR#8 had no goal related to end of life. Other goals listed on the care plan for RR#8 included - the patient will have optimum peripheral circulation and at the end of the certification period the patient will verbalize understanding that symptom is part of the disease process. The care plan of RR#10 reflected a goal of- optimum peripheral circulation and patient vital signs/labs will remain stable and not worsen. This observation was discussed with the performance improvement LPN.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Individual Tracer. In 1 of 10 patient records reviewed, the hospice orders/care plan did not reflect accurate or complete orders. The medication orders for RR#8 reflected- Diclofenac Sodium 1% cream topical 2x per day as needed for pain and Tylenol 325 mg every 6 hours as needed for pain. There was no further qualifications of these prn orders. This was discussed with the performance improvement LPN.”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Infection Control System Tracer. Based on a review of the available data, there was no aggregated and or analyzed data related to hand hygiene for 2024, 2023, or 2022. Per the performance improvement LPN, the data was collected and maintained in individual employee files.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Individual Tracer. In 2 of 3 patient records reviewed, that received a hospice aide, did not have a comprehensive aide care plan based on the needs identified on the assessments. RR#3 & RR#4 were oxygen dependent and were on aspiration precautions and the hospice aide care plans did not reflect any of these precautions.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Individual Tracer. In 1 of 3 patient records reviewed, that had a hospice aide, did not have a supervisory visit no less frequently than every 14 days. RR#2 had documentation of a supervisory visit conducted in 30 days. This observation was discussed with the performance improvement LPN.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Individual Tracer. In 2 of 2 patient records reviewed, that was discharged to the hospital. DC#2 and DC#3 revoked seeking aggressive treatment. Both were sent to the hospital, discharge summaries completed however were not sent to the receiving facility/hospital based on chart review, discussions with DON and performance improvement LPN.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 12, 2025 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 27, 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): 12.6 nurse care minutes per routine home care day, 13.3% of skilled nursing minutes at weekends and a visit near death for 75% 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 | 12.6 min |
| Skilled nursing minutes at weekends | 13.3% |
| Visits near death | 75.0% of patients who died |
Who owns it?
- CMS’s ownership file has no owners listed for this hospice.
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: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 89.29% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
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 | 7 of 10 |
How does it compare nearby?
- Of the 146 hospices CMS’s data show serving patients in ZIP code 91763, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; 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 |
|---|---|
| Angels on Earth Hospice | 27 |
| Priority One Hospice | 10 |
| Reliant Hospice Inc. | Not given |
| Monzone’s Hospice Care LLC | 3 |
| Angel of Joy Hospice | 4 |
| Oxford Hospice Care, Inc. This hospice | 8 |
| Cinta Hospice Care, Inc. | 2 |
| Calstro Hospice Inc. | 27 |
| Starlight Hospice Inc. | 47 |
| Mary of Joy Hospice, Inc. | 1 |
| Divine Angels Hospice | 5 |
| Faith, Hope & Love Hospice Care Inc. | 12 |
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.