Maximum Hospice and Palliative Care, Inc.
A hospice in Pasadena, California 91104
1429 N Lake Ave, Pasadena, California 91104. (818) 240-2488.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
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.
- 14 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 mean3
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
14 deficiencies cited in the last three years
The middle of the 145 hospices serving ZIP code 91104 had 5.
The last inspection on record was on Dec 9, 2024: a follow-up inspection by the Accreditation Commission for Health Care.
2 deficiencies at condition level, the more serious of CMS’s two levels
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
14 deficiencies in 2 months of the last 36. Last cited Oct 2024. Most serious: Condition-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 30, 2024: follow-up inspection by the Accreditation Commission for Health Care6 deficiencies
-
Quality assessment & performance improvement (42 CFR 418.58)
“Condition of Participation: Quality Assessment and Performance Improvement.”
-
Program scope (42 CFR 418.58(a)(1))
“Upon observation, there was no evidence the program shows measurable improvement in indicators related to improved palliative outcomes and hospice services. The documentation was not available to demonstrate compliance with QAPI program requirements. Agency was unable to produce necessary documents.”
-
Program data (42 CFR 418.58(b)(3))
“Upon observation, there was no evidence the board of directors/governing body approves the frequency and detail of the data collection. The documentation was not available to demonstrate compliance with governing body approval of data collection. Agency was unable to produce necessary documents.”
-
Performance improvement projects (42 CFR 418.58(d)(2))
“Upon observation, there was no evidence the hospice documents what QAPI projects are being conducted, the reasons for conducting these projects, and the measurable progress achieved on these projects. The documentation was not available to demonstrate compliance with QAPI projects being conducted. Agency was unable to produce necessary documents.”
-
Executive responsibilities (42 CFR 418.58(e)(1))
“Upon observation, there was no evidence of involvement of the governing body and organizational leaders in the Quality Assessment/Performance Improvement (QAPI) program. The documentation was not available to demonstrate compliance with governing body involvement in the QAPI program. Agency was unable to produce necessary documents.”
-
Executive responsibilities (42 CFR 418.58(e)(2))
“Upon observation, there was no evidence the hospice’s governing body is responsible for ensuring that the hospice-wide Quality Assessment and Performance Improvement efforts address priorities for improved quality of care and patient safety, and that all improvement actions are evaluated for effectiveness. The documentation was not available to demonstrate compliance with governing body’s responsibility for ensuring hospice-wide QAPI efforts. Agency was unable to produce necessary documents.”
Sep 13, 2024: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
-
Quality assessment & performance improvement (42 CFR 418.58)
“Condition of Participation: Quality Assessment and Performance Improvement.”
-
Content of comprehensive assessment (42 CFR 418.54(c))
The inspectors’ words, 93 words
“Upon patient record review 8 of 14 (Patient #2,3,6,7,8,11,13,14) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. (Patients #2,3,6,7,8,11,13,14) did not have evidence of comprehensive spiritual or psychosocial assessments. The admit nurse only answered the screen questions of “no needs” or “declines”. The SC and SW services were documented as “declined” by the patient &/or family/ CG.”
-
Program scope (42 CFR 418.58(a)(1))
“Upon observation, there was no evidence the program shows measurable improvement in indicators related to improved palliative outcomes and hospice services. The information that was provided for review, were only print outs of tables with collected percentages. There was no evidence of measurable improvements in palliative outcomes and hospice services related to the data collected.”
-
Program data (42 CFR 418.58(b)(3))
“Upon observation, there was no evidence the board of directors/governing body approves the frequency and detail of the data collection.”
-
Performance improvement projects (42 CFR 418.58(d)(2))
“Upon observation, there was no evidence the hospice documents what QAPI projects are being conducted, the reasons for conducting these projects, and the measurable progress achieved on these projects.”
-
Executive responsibilities (42 CFR 418.58(e)(1))
“Upon observation, there was no evidence of involvement of the governing body and organizational leaders in the Quality Assessment/Performance Improvement (QAPI) program. The information that was provided for review, were only print outs of tables with collected percentages. There was no mention of QAPI in Governing Body minutes.”
-
Executive responsibilities (42 CFR 418.58(e)(2))
“Upon observation, there was no evidence the hospice’s governing body is responsible for ensuring that the hospice-wide Quality Assessment and Performance Improvement efforts address priorities for improved quality of care and patient safety, and that all improvement actions are evaluated for effectiveness. The information that was provided for review, were only print outs of tables with collected percentages with no evidence of improvement measures discussed or performed.”
-
Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 3 of 14 (Patient #5,8,10) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 (Patient #5,8,10) Election statements were marked , “I elect to choose my attending physician”. The physician name was left blank; therefore no documentation of choice for attending physician.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 9, 2024 | Follow-up inspection by the Accreditation Commission for Health Care | No deficiencies cited |
| Oct 30, 2024 | Follow-up inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
| Sep 13, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 7, 2017.
- Ownership: for-profit.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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): 7.1 nurse care minutes per routine home care day, 10.9% 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 | 7.1 min |
| Skilled nursing minutes at weekends | 10.9% |
| 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).
- 100% 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 145 hospices CMS’s data show serving patients in ZIP code 91104, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 14.
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 |
|---|---|
| Faith & Hope Hospice Care, Inc. | 6 |
| Paradise Hospice, Inc. | 7 |
| Five Star Home Hospice | 3 |
| Maximum Hospice and Palliative Care, Inc. This hospice | 14 |
| Hospice and Palliative Care of California, Inc. | 41 |
| Kaiser Foundation Hospital Los Angeles - Hospice | 3 |
| Mission Hospice | 15 |
| Roze Room Hospice of San Gabriel Valley | 7 |
| St Vincent Hospice Services, Inc. | 5 |
| S&a Hospice Care, Inc. | 2 |
| Heartful Hospice Care, Inc. | 3 |
| Communicare Hospice, Inc. | 2 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.