Aasta Hospice
A hospice in Simi Valley, California 93063
5924 East Los Angeles Avenue, Suite R, Simi Valley, California 93063. (805) 823-4136.
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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.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
9 deficiencies cited in the last three years
The middle of the 140 hospices serving ZIP code 93063 had 5.
The last inspection on record was on Jul 16, 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
9 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 16, 2026: reaccreditation inspection by The Joint Commission9 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 2 of 10 patient records reviewed, the organization did not respect the patient rights by providing an addendum within five days per patient request. For example: RNHV#2 and RRNHV#3, the patient signed a addendum that stated See med list. Date of delivery of the addendum was not documented. This was discussed with the agency Administrator and DPCS.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 2 of 10 patient records reviewed, the surveyor identified that an initial bereavement assessment was not completed for RRNHV#2 and RRNHV#4. This was discussed with the DPCS and Administrator. Observed in Record Review. In 1 of 10 patient records reviewed, the organization did not complete the comprehensive assessment within five calendar days after the election of hospice care. For example, RRNHV#2 the psychosocial assessment was completed on day six. This was validated with the DPCS.”
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Plan of care (42 CFR 418.56(b))
“Observed in Record Review. In 1 of 1 patient records reviewed, RRHV#2, the organization did not provide education and training to the on the signs and symptoms of hyper and hypoglycemia as identified in the plan of care interventions. This was discussed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 359 words
“Observed in Record Review. In 5 of 10 patient records reviewed, the plan of care did not reflect patient and family goals and interventions based upon updated comprehensive assessments. For example: RRHV#1 Cardiovascular goals: Prevent discomfort due to increasing edema within 2 weeks and will update at next IDT. Pt will verbalize and/or express decreased episodes of chest pain while on prescribed medication within the next 2 weeks and will be re-evaluated during the next IDT meeting. Goals were created five months ago and have not been updated to reflect current patient status. Cardiovascular Intervention Nitroglycerin 0.3mg one tab sublingual every 5 minutes to to three times on the first sign of angina . Nitroglycerin has been discontinued for over three months. RRHV#1 Endocrine goal: Patient will have blood sugar levels not less than 60mg/dl and not more than 350mg/dl, absence of hypo/hyperglycemia signs and symptoms within the next 2 weeks created upon admission. Intervention includes: PCG to report blood sugar below 60mg/dl or above 350mg/dl. Monitor/assess effectiveness of current medication: Humalog injection 100 unit/ML before meals and at bedtime. Sliding scale: 150-200-2 units; 201-250-4 units; 251-300-6 units; 301-350l-8 units; 351-400, give 12 units and notify MD. The medication administration record does not include Humalog and no blood sugar readings are documented in the medical record. RRHV#2 Cardiovascular goal created three months ago: Patient will demonstrate reduced edema or no progression from +2 within 1-2 weeks; Patient will report decreased discomfort/heaviness in affected extremities within 3-5 days; Patient will maintain intact skin integrity with no redness or breakdown within 14 days. RRNHV#3 Cardiovascular goal written 3 months ago: Patient will not have bleeding while on prescribed medication within the next 2 weeks and will be re-evaluated during the next IDT meeting. RRHV#2, RRHV#3 and RRNHV#4, the goal was not measurable, for example RRHV#2, the goal was Blood sugar management for patients comfort. RRHV#3, the goal was Pt needs will be met on a day to day basis as communicated. RRHNV#4 Goal created seven months ago Pain will remain in comfortable level during care within 48 hours and will update at next IDT meeting. This was discussed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 135 words
“Observed in Record Review. In 1 of 1 patient records reviewed, the interdisciplinary group did not coordinate or plan the care based upon the most recent comprehensive assessment. For example: RRHV#1: the RN documented respiratory status remains labile with continued episodes of dyspnea on exertion. No acute respiratory distress noted at rest during the visit. Son has requested oxygen conc to be picked up as it takes up too much room and his apartment is small. Risk and benefits explained but son still insisted on not having conc in home. IDG notes one week after the RN visit and son requested removal of the oxygen; oxygen therapy remains available at the bedside and is used during nighttime hours to promote comfort and decrease the work of breathing while resting. This was discussed with the DPCS.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 2 of 4 record review no home visit, the aide did not follow the ordered frequency of visits. For example: in RRNHV#1 the aide frequency was two times per week. The aide made one visit that week. RRNHV#3, the aide frequency orders were for two times weekly. The aid made zero visits week one. This was discussed with the DPCS.”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 1 of 10 patient records reviewed, bereavement services did not reflect the needs of the patient. For example, in RRNHV#2, there was not bereavement plan of care developed and implemented.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 1 of 1 patient records reviewed, the registered nurse did not prepare patient care instructions for the home health aide to utilize a hoyer lift for patient transfers. For example: RRHV#2, the aide utilizes a hoyer lift to transfer the patient at each aide visit. This was discussed with the DPCS.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Individual Tracer. In 1 of 1 tracers conducted, the hospice did not provide and verify patient caregiver education and understanding of the use of home medical equipment. For example, RRHV#2 the patient had a hoyer lift, oxygen concentrator, portable oxygen tank and suction equipment in the home. There was no documentation in the medical record the PCG had received education and training or assessed for competent use of the medical equipment.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 16, 2026 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 8, 2017.
- 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): 12.1 nurse care minutes per routine home care day, 12.9% of skilled nursing minutes at weekends and a visit near death for 79% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 96% at home, 4% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.1 min |
| Skilled nursing minutes at weekends | 12.9% |
| Visits near death | 79.0% of patients who died |
Who owns it?
- 4 owners or officers are people: Nandini Kumar (owns 5% or more directly, 100%); Nandini Kumar (corporate officer, 100%); Nandini Kumar (corporate director, 100%); Nandini Kumar (managing employee (on the payroll), 100%).
- 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: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 84.21% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 0% 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 | 10 of 10 |
How does it compare nearby?
- Of the 140 hospices CMS’s data show serving patients in ZIP code 93063, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 |
|---|---|
| Charter Hospice, LLC | Not given |
| Innerjoy Hospice Care, Inc. | 19 |
| Good Heart Hospice & Palliative Care Simi Valley | 11 |
| Aasta Hospice This hospice | 9 |
| United Hearts Hospice Health Services | 6 |
| Americus Hospice, Inc. | 10 |
| Perpetual Care Hospice, Inc. | 6 |
| 24/7 Team Care Hospice | 2 |
| Faithful Hospice Care, Inc. | 11 |
| Haven Hospice Care, Inc. | Not given |
| Ohana Hospice and Palliative Care, Inc. | 3 |
| All Comfort Hospice Care, Inc. | 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.