Advantage Health Systems
A hospice in Costa Mesa, California 92626
151 Kalmus Drive, Suite D-104, Costa Mesa, California 92626. (714) 668-9302.
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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.
- 3 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?
3 deficiencies cited in the last three years
The middle of the 114 hospices serving ZIP code 92626 had 8.
The last inspection on record was on May 20, 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
3 deficiencies in 1 month of the last 36. Last cited May 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.
May 20, 2026: reaccreditation inspection by The Joint Commission3 deficiencies
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 14 patient records reviewed, the Surveyor noted an RN did not visit the hospice patient every 15 days to conduct an assessment. For example, in RRNHV #3, there had been 17 days between RN visits. This was validated with the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 171 words
“Observed in Record Review. In 2 of 14 patient records reviewed, the Surveyor noted care provided to the patient without an order. For example, in RRNHV #3, the clinician documented that they made an as needed visit to irrigated the patients ears; however, there had been no order for the clinician to complete this procedure. In RRNHV #4 the patient had Bisacodyl 10 mg rectal suppository and MOM 15 ml both ordered ‘daily, as needed for constipation’ without clear clinical indications for when to utilize each medication. This was validated with the DPCS. Observed in Patient Home. In 1 of 3 home visits conducted, The Surveyor noted medication orders that had not been updated with the correct administration information. For example, in RRHV #2, the patient had Oxygen 3 lpm continuous on the medication profile. The patient had not been observed wearing Oxygen. When asked, the family replied that for the past 5-6 months, they utilize the oxygen as needed only. This was validated with the RN present during the visit.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 101 words
“Observed in Record Review. In 10 of 10 patient records reviewed, where the patient had a Hospice Aide providing care, the Surveyor noted that the name of the Hospice Aide (HA) being supervised had not been documented on the supervisory form. The Clinician completing the supervision had checked a box that stated: Employed by this company, so the Surveyor had been unable to validate which HA had been supervised. In RRNHV #3, there had not been an HA supervisory visit completed every 14 days to assess services. There had been 17 days between supervisory visits. This was validated with the DPCS.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 20, 2026 | Reaccreditation inspection by The Joint Commission | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 15, 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): 15.6 nurse care minutes per routine home care day, 3.7% of skilled nursing minutes at weekends and a visit near death for 85.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 51% at home, 46% in assisted living, 3% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.6 min |
| Skilled nursing minutes at weekends | 3.7% |
| Visits near death | 85.9% of patients who died |
Who owns it?
- 8 owners or officers are people: Emil G Bundang (owns 5% or more directly, 100%); Emil G Bundang (corporate officer, 100%); Emil G Bundang (corporate director, 100%); Emil G Bundang (managing employee (on the payroll), 100%); Kevin V Mai (managing employee (under contract), 0%); Ma Lei Corpuz (managing employee (on the payroll)); Maria Cecilia Punay (managing employee (on the payroll)); Pin Hung Hsieh (managing employee (under contract), 0%).
- 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: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.74% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 48.5% 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 | 7 of 10 |
How does it compare nearby?
- Of the 114 hospices CMS’s data show serving patients in ZIP code 92626, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 3.
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 |
|---|---|
| Bristol Hospice-Orange County | 8 |
| Advantage Health Systems This hospice | 3 |
| Orange Coast Hospice Services, Inc. | Not given |
| Seacliff Hospice Inc. | 7 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| VNA of Greater Los Angeles, Inc. | Not given |
| VNA of Orange County LLC - Hospice | 5 |
| Memorialcare Hospice and Palliative Services | 9 |
| Vitas Healthcare Corporation of California | 3 |
| Accentcare Hospice & Palliative Care of California | 3 |
| Providence at Home With Compassus Hospice Care Orange County | 5 |
| Silverado Hospice Inc. | 16 |
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.