Sea Coast Hospice Care Inc.
A hospice in San Diego, California 92121
8380 Miramar Mall, San Diego, California 92121. (858) 452-9300.
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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
- 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?
3 deficiencies cited in the last three years
The middle of the 16 hospices serving ZIP code 92121 had 10.5.
The last inspection on record was on May 23, 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
3 deficiencies in 1 month of the last 36. Last cited May 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.
May 23, 2025: reaccreditation inspection by The Joint Commission3 deficiencies
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Policies/Procedures for Medical Documentation (42 CFR 418.113(b)(3))
“Observed in Emergency Management Session. the organization failed of how to manage interruptions to information processes as evidence by, during a reported Cyberattack of the electronic medical record the organization was unable to provide the Surveyor with backup information of patient information from the medical record. This was validated and reviewed with the Director of Patient Services/Administrator Designee and the CEO.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 242 words
“Observed in Record Review. In 1 of 4 patient records reviewed, the Home Health Aide/Certified Nursing Assistant (HHA/CNA) failed to follow the plan of care. For example, in RRHV #1,the plan of care indicated HHA visits twice a week as of the date of the Start of Care (SOC). Twice a week visits were not made for the first week of the SOC. Another example, in RRHV #1 the initial order was written for daily Skilled Nurse (SN) visits. The SN wrote an additional order to change daily visits to three times a week but only did twice a week visits for the first week the order for 3 times a week visits became active. This was validated and reviewed with the Director of Patient Care Services/Administrator Designee. Observed in Record Review. In 14 of 19 patient records reviewed, the organization failed to provide teaching of the interventions established in the plan of care. For example, in RRHV #1, RRHV #2, and RRHV #3, and RRHV #4, RRDC #1 and 2, Bereavement #1, 2, and 3, RRNHV #3, 4, 5, 7, 8the Hospice Nurse documented, ADL teaching will be met in the next 14 days as exhibited by patient will be clean, dressed, and fed at SN visit. In the Hospice Nurse’s documentation throughout all notes there is no documentation to support ADL teachings within the 14 days established. This was validated and reviewed with the Administrator Designee/Director of Patient Care Services.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
The inspectors’ words, 104 words
“Observed in Record Review. In 1 of 4 patient records reviewed, the Home Health Aide/Certified Nursing Assistant (HHA/CNA) failed to follow the aide care plan. For example, in benefit period 1 in RRHV #2 the HHA documented, encouraged fluids as tolerated. The initial care plan did not indicate encourage fluids as tolerated and the Director of Patient Care Services/Administrator Designee who was also the Registered Nurse who developed the plan of care stated to the Surveyor encourage fluids was not added to the care plan due to the patients difficulty with aspiration. This was validated and reviewed with the Director of Patient Services/Administrator Designee.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 23, 2025 | Reaccreditation inspection by The Joint Commission | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 11, 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): 9.3 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 81.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 46% at home, 48% in assisted living, 6% 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 | 9.3 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 81.3% of patients who died |
Who owns it?
- 12 owners or officers are people: Suzanna Gavranian (owns 5% or more directly, 100%); Suzanna Gavranian (corporate officer, 100%); Suzanna Gavranian (corporate director, 100%); Suzanna Gavranian (managing employee (on the payroll), 100%); Suzanna Gavranian (runs it (operational or managerial control), 100%); Nooshin Bahaie-Khani (managing employee (on the payroll), 0%); Elmer Solis (managing employee (on the payroll), 0%); Samson Gavranian (corporate officer); Samson Gavranian (corporate director); Samson Gavranian (managing employee (on the payroll)); Samson Gavranian (runs it (operational or managerial control)); Samson Gavranian (other role (CMS gives no detail)).
- 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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 75% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.27% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 17% 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 16 hospices CMS’s data show serving patients in ZIP code 92121, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 10.5; 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 |
|---|---|
| Lightbridge Hospice | 11 |
| Hospice of the South Coast LLC | 6 |
| Sea Coast Hospice Care Inc. This hospice | 3 |
| Blue Monarch Hospice | 17 |
| Goodwill Healthcare Services, Inc. | 12 |
| Sharp Hospicecare | 12 |
| Silverado Hospice San Diego | 6 |
| Accentcare Hospice & Palliative Care of California | 6 |
| Apreva Hospice | 10 |
| Mission Hospice Services of San Diego LLC | 3 |
| Comfort and Peace Hospice | 11 |
| Topkare Hospice 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.