St. Jude Hospice & Palliative Care
A hospice in Anaheim, California 92806
121 N State College Blvd Suite 1a, Anaheim, California 92806. (949) 584-6347.
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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
- 9of 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 109 hospices serving ZIP code 92806 had 7.
The last inspection on record was on Apr 4, 2024: 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 Apr 2024. 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.
Apr 4, 2024: reaccreditation inspection by The Joint Commission9 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 1 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that the comprehensive assessment was not completed within five calendar days of the election of hospice care per regulation. for RRHV#3, the Chaplain did not complete the Spiritual Assessment until eighteen days after the date of election of the hospice benefit. There was no documentation in the electronic medical record to indicate why the assessment was completed late. Finding was verified by the Nursing Director/Administrator.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that the registered did not make a home visit to conduct an assessment on patients no less than every 15 days. For RRHV#1, there was a twenty-eight day period where only the Licensed Vocational Nurse (LVN) conducted the patient visits Finding was verified by the Director of Nursing/Administrator.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 10 of 10 patient records reviewed, for active hospice patients the nurse surveyor noted that the goals were not consistently measurable. For example, “Patient will have optimal nutritional status without complications,” and “Pain will be managed at a level acceptable to patient”. Additionally, most dates for the completion of goals were the end of the certification period. There were no short-term goals at admission to address medication administration or safety. Findings were discussed with the Director of Nursing/Administrator.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 7 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that PRN frequencies were not quantified. For RRHV#1, RRHV#2, RRHV#3, RRNHV#2, RRNHV#3, RRNHV#5, and RRNHV#7, the nursing frequency and the social work frequency on the plan of care had open ended prn visits. For example, “skilled nurse visits two times a week and PRN symptom management” and “social work visits one time a month and prn social work needs’. Findings were verified with the Director of Nursing/Administrator.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 154 words
“Observed in Patient Home. In 1 of 3 home visits conducted, it was observed by the Nurse Surveyor that the organization did not implement the infection prevention and control activities it had planned per their hand hygiene policy. For example, during RRHV#1 the CHHA used hand sanitizer, then donned gloves and assisted the caregiver to get the patient back in bed. She then changed gloves without hand sanitizing and proceeded to take her equipment out of her bag, cleaning her equipment prior to using on the patient, took the patient’s vital signs, cleaned her equipment again, put her equipment back in the bag, got the pans of bath water, then assisted in putting oxygen on the patient, all with the same pair of gloves on. Throughout the visit, the CHHA went in and out of her bag without performing hand hygiene. Findings were verified by the LVN who was present during the home visit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 148 words
“Observed in Record Review. In 7 of 8 patient records reviewed, for active patients with the hospice aide, it was noted by the nurse surveyor that the hospice aide care plans did not contain all of the information for the hospice aide to effectively provide care. For RRHV#1, RRHV#2, RRHV#3 RRNHV#1, RRNHV#4, RRNHV#5, and RRNHV#7the care plan included that the hospice aide takes vital signs, but there were no parameters for when the registered nurse should be notified. Additionally, each of the patients were on oxygen prn however, there were no instructions to indicate if the patient’s oxygen could be removed during the bath if they were using it at the time. There also were no consistent instructions as to when the aide should notify the nurse for example if new skin breakdown was noted or for change in condition. Findings were verified by the Director of Nursing/Administrator.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 1 of 10 patient records reviewed, for active patents, it was noted by the nurse surveyor that Hospice Aide Supervisory visits were not documented the required every fourteen days per regulation. For RRHV#1, there were no documented Hospice Aide Supervisory visits for twenty-eight days. Findings were verified with the Director of Nursing/Administrator.”
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Authentication (42 CFR 418.104(b))
“Observed in Record Review. In 4 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that the authentication process had not been completed per the agency’s electronic medical record process for RRHV#1,RRHV#2, RRHV#3, and RRNHV#4. Finding was verified by the Director of Nursing/Administrator.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 101 words
“Observed in Patient Home. In 2 of 3 home visits conducted, it was noted by the nurse surveyor that for RRHV#1 and RRHV#2, the patients did not have an individualized disaster plan in their home folders. Finding was verified by the LVN who was present during the home visits. Discussion with the Director of Nursing/Administrator revealed that education is being provided and a form is filled out for agency use but is scanned as a part of the Electronic Medical Record. There is no process to develop an individualized emergency plan with the patient/family with a written plan in the home.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 4, 2024 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 5, 2018.
- 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): 12.4 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 92.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 53% at home, 36% in assisted living, 11% 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 | 12.4 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 92.5% 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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 88.29% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 17.3% 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 | 9 of 10 |
How does it compare nearby?
- Of the 109 hospices CMS’s data show serving patients in ZIP code 92806, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; 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 |
|---|---|
| St. Jude Hospice & Palliative Care This hospice | 9 |
| Providence at Home With Compassus Hospice Care Orange County | 5 |
| Ultracare Hospice | Not given |
| Standard Care Hospice Inc. | 10 |
| Access Care Hospice | 11 |
| Kind Heart Hospice and Palliative Care Incorporated | 27 |
| Healing Hands Hospice Care, Inc. | 3 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| 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 |
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.