Achieva Hospice, Inc.
A hospice in Upland, California 91786
818 N Mountain Ave, Suite 104, Upland, California 91786. (909) 981-3000.
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.
- 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 164 hospices serving ZIP code 91786 had 7.
The last inspection on record was on Dec 12, 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 Dec 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.
Dec 12, 2024: reaccreditation inspection by The Joint Commission9 deficiencies
-
Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 2 patient records reviewed, During Live D/C RR#1 it was noted the patient was discharged with an extended prognosis. The Notice of Non Medicare Coverage was signed the day before the discharge date by the pt. representative. This was discussed with the DPCS.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 117 words
“Observed in Record Review. In 3 of 10 patient records reviewed, During RR#2 it was noted the patient comorbidities on the POC included diabetes type II, with glipizide listed on the medication profile. The initial RN assessment lacked an assessment of the patient diabetic status. During RR#6 it was noted during the RN initial evaluation the patient had black stools with episode of rectal bleeding and recent episode of coffee ground emesis. The physician was notified, orders received, however, there was lack of GI assessment and interventions added to the POC. During RR#8 RN initial evaluation the patient had a tracheostomy. There was lack of respiratory interventions added to the POC. This was discussed with the DPCS.”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 92 words
“Observed in Record Review. In 3 of 10 patient records reviewed, During RR#1, RR#2 and RR#3 it was noted many goals were generic and/or not individualized. They included in RR#2: pt symptoms will be managed, pt will remain comfortable, achieve optimal nutrition, will express satisfactory control of symptoms. They included in RR#3: pt symptoms will be managed, pt will remain comfortable, pt will achieve optimal nutritional status. During RR#1 it was noted all goals had target dates to be accomplished at 30 days after the SOC. This was discussed with the DPCS.
”
-
Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 185 words
“Observed in Record Review. In 4 of 10 patient records reviewed, During HV#2 record review it was noted an order for wound care every 3 days. The patient had 2 SN visits per week. The order for wound care lacked who would perform the procedure on the days the SN was not scheduled. During RR#5 it was noted an order for wound care to a stage 2 pressure ulcer daily without indication of who will perform the wound care on non SN visit days. During RR#7 it was noted an order to insert a F/C the end of March 2024. There was lack of GU interventions added to the POC. During RR#8 it was noted an order to change the inner cannula of the tracheostomy tube daily, and an order to perform wound care around the G-tube insertion site daily. The orders lacked who would perform the care on non SN visit days with a visit frequency of once a week. In addition the G-tube feeding order at the SOC lacked the water flushing amount and frequency during feedings. This was discussed with the DPCS.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 146 words
“Observed in Record Review. In 4 of 10 patient records reviewed, During HV#1 and #2 record review it was noted lack of instruction on s/s bleeding and bleeding precautions on the POC related to Eliquis order for HV#1 and Plavix order for HV#2. During RR4 and RR#7 it was noted orders for Eliquis. There was lack of instruction on s/s bleeding and bleeding precautions on the POC. This was discussed with the DPCS. Observed in Record Review. In 5 of 10 patient records reviewed, During HV#1, RR#2, RR#4, RR#5, RR#6 it was noted orders for Oxygen therapy 2-5 L/min PRN SOB. The orders lacked the titration parameters to increase the liter flow. Possible aspiration was added to the HV#1 and RR#5 POC as a safety precaution however the POCs lacked interventions to the family on S/S and prevention of aspiration. This was discussed with the DPCS.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 2 of 10 patient records reviewed, During review of the aide POC for HV#1 record review it was noted lack of instruction on bleeding precautions related to the patient’s Eliquis prescription on the medication profile. During RR#3 it was noted the CHHA assignment form lacked direction to the aide if the continuous oxygen therapy should be left on or could be removed during personal care. This was discussed with the DPCS.”
-
Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Record Review. In 1 of 2 patient records reviewed, During Live D/C RR#2 it was noted the patient was transferred to the hospital after a fall. The discharge summary was not sent to receiving hospital. This was discussed with the DPCS.”
-
Written agreement (42 CFR 418.112(c)(9))
“Observed in Document Review. In 1 of 4 contracts reviewed, During review of the organization contract for GIP and respite care it was noted lack of a stipulation of delineation of the responsibilities of the hospice and the SNF to provide bereavement services to SNF staff. This was discussed with the DPCS.”
-
Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Document Review. In 1 of 4 contracts reviewed, During review of the therapy contract it was noted lack of a stipulation that the outside agency will complete criminal background checks on contracted employees who provide direct patient care or have access to patient records. This was discussed with the DPCS.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 12, 2024 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 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): 19.4 nurse care minutes per routine home care day, 16.4% of skilled nursing minutes at weekends and a visit near death for 92.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 88% at home, 12% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 19.4 min |
| Skilled nursing minutes at weekends | 16.4% |
| Visits near death | 92.3% of patients who died |
Who owns it?
- Lehmann Family 1991 Trust owns 20% directly since Jun 30, 2023; The Klavan Family Trust owns 20% directly since Jun 30, 2023; The Tzippy Friedman Notis 1990 Trust owns 20% directly since Jun 30, 2023; Ira D Friedman 1991 Trust owns 20% directly since Jun 30, 2023; Friedman Family Trust owns 20% directly since Jun 30, 2023.
- 6 owners or officers are people: Ira David Friedman (owns 5% or more through other companies, 20%); Ira David Friedman (corporate officer, 20%); Ira David Friedman (corporate director, 20%); Carlos Paz (managing employee (on the payroll)); Joshua Klavan (corporate officer); Jeffrey R Unger (managing employee (under contract)).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Lehmann Family 1991 Trust | Owns 5% or more directly | 20% | Jun 30, 2023 |
| The Klavan Family Trust | Owns 5% or more directly | 20% | Jun 30, 2023 |
| The Tzippy Friedman Notis 1990 Trust | Owns 5% or more directly | 20% | Jun 30, 2023 |
| Ira D Friedman 1991 Trust | Owns 5% or more directly | 20% | Jun 30, 2023 |
| Friedman Family Trust | Owns 5% or more directly | 20% | Jun 30, 2023 |
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).
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 164 hospices CMS’s data show serving patients in ZIP code 91786, 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 Grace Hospice Inc. | Not given |
| Advantage Hospice Providers, Inc. | 6 |
| Nova Home Hospice Inc. | 6 |
| Ivy Hospice Care, Inc. | 18 |
| Golden Angel Hospice Inc. | 9 |
| Blendship, Inc. | 31 |
| Medplus Hospice Services | 8 |
| Foothill Hospice Care, Inc. | Not given |
| Geana Hospice Care Inc. | 9 |
| Unicare Hospice Provider, Inc. | 9 |
| Achieva Hospice, Inc. This hospice | 9 |
| Butterfly Hospice | 17 |
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.