Gentle Touch Hospice, Inc.
A hospice in Granada Hills, California 91344
15600 Devonshire St, Suite 202, Granada Hills, California 91344. (818) 219-6045.
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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
- 8of 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 258 hospices serving ZIP code 91344 had 5.
The last inspection on record was on Jul 25, 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 Jul 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.
Jul 25, 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 2 of 12 patient records reviewed, it was noted that the comprehensive assessment was not completed no later than five calendar days after the election of hospice care. For example, in record RRNHV#2 there was no initial psychosocial assessment documented after 6 days. In record RRNHV#7 the initial spiritual assessment was documented day 9. This was confirmed and discussed with the RN owner present.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 3 of 12 patient records reviewed, It was noted that the comprehensive assessment was not completed in a timely manner. For example, in record RRBR#2 the initial bereavement assessment was completed day 19. In record RRNHV#6 the initial bereavement assessment was documented day 18. In record RRNHV#7 the initial bereavement assessment was documented day 8. This was confirmed with the RN owner and DPCS.”
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Plan of care (42 CFR 418.56(b ))
“Observed in Record Review. In 1 of 2 patient records reviewed, for live discharge patients, it was noted that there were individual instances of the NOMNC not being signed as required. For example, in RRDC#1 the NOMNC was signed the same day as discharge, not 2 days prior. This was confirmed with the DPCS, Administrator/owner and CFO/RN/owner present.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 93 words
“Observed in Record Review. In 8 of 10 patient records reviewed, it was noted that the plan of care was not individualized for each patient, did not reflect the patient and family goals. For example, in record RRHV#1 and RRNHV#4 the goals were general, not individualized to patient and caregivers both records included Will minimize complications with compliance with medications. RRNHV#1 goal not individualized Facilitate a spiritual environment to begin the bereavement process. RRNHV#7 goals not individualized Symptoms will be minimize/resolve with rest. This was confirmed and discussed with the RN owner present.

”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 1 of 3 patient records reviewed, that included aide services, it was noted that care was not provided according to hospice plan of care. For example, in record RRHV#2 the aide service frequency was 2 times a week and one week in the month of hospice service there was only 1 aide visit documented and no documentation of a missed visit. This was discussed with the DPCS and RN/CFO.
”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 189 words
“Observed in Patient Home. In 2 of 3 home visits conducted, it was noted that the staff failed to perform hand hygiene consistent with the organization’s policy. For example, during RRHV#2 the aide failed to perform hand hygiene multiple times prior to accessing the nursing bag. During RRHV#3 the LVN failed to preform hand hygiene multiple times prior to accessing the nursing bag. The organization’s Hand Hygiene policy stated that hand hygiene was to be performed before accessing the nursing bag. This was discussed with the RN owner, DPCS, and Administrator owner. Observed in Patient Home. In 1 of 3 home visits conducted, it was noted that the organization had not implemented infection prevention and control activities when cleaning medical supplies and devices. For example, during RRHV#2 the aide did not perform equipment cleaning or disinfection of the blood pressure cuff, stethoscope, or thermometer when she removed the items from the bag or prior to returning the items to the bag after use. The organization’s policy stated that disinfection was to be performed prior to returning equipment to the bag. This was discussed with the RN owner and DPCS.”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 2 of 2 patient records reviewed, for bereavement, it was noted that the bereavement plan of care was incomplete. For example, in record RRBR#1 the bereavement care plan did not include a goal, the goal was left blank. In record RRBR#2 there was no goal and no interventions documented. This was confirmed with the DPCS and RN owner.”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 2 of 2 HR files reviewed, for hospice aides, it was noted that required aide competencies were documented, but the documentation failed to confirm competencies were completed with an actual patient or a qualified pseudo patient. This was confirmed with the RN/owner present.
”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 126 words
“Observed in Record Review. In 5 of 7 patient records reviewed, that included aide services, it was noted that the hospice aide supervision not done every 14 days. For example, in record RRHV#2 twice there was 29 days between documentation of supervision, once there was 25 days and once there was 16 days between documentation of aide supervision. In record RRHV#3 there was 15 days between documentation of aide supervision. In record RRNHV#1 twice there was 15 days, once 28 days once 34 days between supervision. Record RRNHV#3 one time there were 16 days between supervision. Record RRNHV#4 one time there was 24 days between supervision and one time there was 38 days between supervision. This was confirmed with the DPCS and RN owner present. 
”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 25, 2024 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 26, 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): 7 nurse care minutes per routine home care day, 20.5% of skilled nursing minutes at weekends and a visit near death for 80.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 8% at home, 92% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 7.0 min |
| Skilled nursing minutes at weekends | 20.5% |
| Visits near death | 80.7% of patients who died |
Who owns it?
- 6 owners or officers are people: Yna Rosales (managing employee (on the payroll), 100%); Rosamerlinda Rosales (managing employee (on the payroll), 100%); Yzabelle Mercedes Rosales (managing employee (on the payroll), 100%); William Josephson (managing employee (under contract), 100%); Rosamerlinda Rosales (owns 5% or more directly, 50%); Yzabelle Mercedes Rosales (owns 5% or more directly, 50%).
- 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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 94% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 26.2% 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 | 8 of 10 |
How does it compare nearby?
- Of the 258 hospices CMS’s data show serving patients in ZIP code 91344, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; 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 |
|---|---|
| Dedicated Hospice Care, Inc. | 5 |
| Caring Love Hospice Inc. | Not given |
| Emanuel Hospice Inc. | Not given |
| Thousand Oaks Hospice, Inc. | 10 |
| Altruistic Hospice, Inc. | 38 |
| Gentle Touch Hospice, Inc. This hospice | 9 |
| Quest Hospice, Inc. | 3 |
| East Valley Hospice, Inc. | 38 |
| Dignity Care Hospice, Inc. | 19 |
| Delta Health Hospice | 4 |
| Good Choice Hospice Care | 0 |
| Elegant Hospice Care | 5 |
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.