Valencia Hospice Care
A hospice in Valencia, California 91355
25050 Avenue Kearny, Suite #104, Valencia, California 91355. (661) 249-6245.
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.
- 11 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 mean3
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
11 deficiencies cited in the last three years
The middle of the 92 hospices serving ZIP code 91355 had 6.
The last inspection on record was on Apr 18, 2024: a follow-up inspection by The Joint Commission.
3 deficiencies at condition level, the more serious of CMS’s two levels
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
11 deficiencies in 2 months of the last 36. Last cited Apr 2024. Most serious: Condition-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 18, 2024: follow-up inspection by The Joint Commission3 deficiencies
-
Governing body and administrator (42 CFR 418.100(b))
“Observed in Tracer Activities. there was no evidence that the governing body and leadership had established processes to support patient care, treatment, and services through sustained compliance as evidenced by repeat findings at §418.104. This RFI was reviewed with the Administrator and Director of Nursing.”
-
Clinical records (42 CFR 418.104)
“Observed in Record Review. In 1 of 3 patient records reviewed, the organization did not maintain complete and accurate patient records. In the record of RRNHV#1 many of the assessment sections of the comprehensive nursing assessment were incomplete. This RFI was reviewed with the Administrator and Director of Nursing.”
-
Content (42 CFR 418.104(a)(7))
The inspectors’ words, 140 words
“Observed in Patient Home. In 1 of 1 home visits conducted, the medication profile in a patient’s home was inaccurate. At HV#1 during an interview with the patient, and with an LVN present the Surveyor observed that Acetaminophen 650 mg suppository was listed on the profile, but 650 mg was crossed out and then re-written. According to the LVN he made the change last month because Acetaminophen 325 mg two tablets by mouth was also ordered and he confused the two entries. The list included Vicks Vapo rub ointment apply twice a day as needed for pain: topical 2x daily as needed. This entry was handwritten. The medication list in the EMR included the same directions for “Baby rub” and was dated six weeks prior to this survey date. This RFI was reviewed with the Administrator and Director of Nursing.”
Mar 7, 2024: reaccreditation inspection by The Joint Commission8 deficiencies
-
Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 174 words
“Observed in Record Review. In 9 of 9 patient records reviewed, for active patients, it was noted by the nurse surveyor that the registered nurse does not routinely make a home visit to conduct an assessment on patients no less than every 15 days. Licensed vocational nurses conduct all patient visits except for the initial comprehensive nursing assessment and the recertification assessment. The registered nurse does make home health aide and licensed vocational supervisory visits, when necessary, but does not document that a physical assessment of the patient has been completed. Finding was verified by the Director of Nursing and the Administrator. Observed in Record Review. In 9 of 9 patient records reviewed, for active patients, it was noted by the nurse surveyor that the IDG meeting notes were signed only by the Registered Nurse and the Medical Director and did not document who else attended the meeting. No other documentation was included in the EMR to indicate who attended each IDG meeting. Finding was verified by the Director of Nursing and the Administrator.”
-
Governing body and administrator (42 CFR 418.100(b))
“Observed in Tracer Activities. It was noted by the nurse surveyor that the governing body/leadership did not ensure that the following Conditions of Participation were met as determined through observations, documentation, and staff interviews: 
§418.54, §418.54 (d), §418.104, and 
§418.100(b).”
-
Clinical records (42 CFR 418.104)
“Observed in Record Review. In 1 of 9 patient records reviewed, for active patients, it was noted by the nurse surveyor that documentation was not complete or entered promptly. For RRHV#3, the licensed vocational nurse consistently only documented on page one of the EMR nurses note, leaving page two, three and four blank. Additionally, visit documentation by the licensed vocational nurse was not entered for the last three weeks. Finding was verified by the Director of Nursing.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 102 words
“Observed in Record Review. In 3 of 9 patient records reviewed, for active patients, it was noted by the nurse surveyor that the initial bereavement risk assessment had not been completed as required. Per Bereavement Services Policy No. 2-010. The initial bereavement risk assessment was to be completed by the Social worker within five days of admission. For RRHV#3, the initial bereavement risk assessment was completed by the chaplain almost five months after the admission. For RRNHV#1, and RRNHV#2, the initial bereavement risk assessment was not completed within five days of admission as required. Finding was verified by the Director of Nursing.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 130 words
“Observed in Record Review. In 2 of 9 patient records reviewed, for active records, it was noted by the nurse surveyor that medication orders were not clear or accurate. In RRHV#2, the order in the medical record for Vicodin was unclear and did not include an indication or symptom for when the medication was to be taken: Vicodin ½ to 1 tablet every 4 to 6 hours, PRN. In RRHV#3, the medication profile contained two separate orders for the treatment of pain but did not distinguish when each should be used: Aleve Capsules 220mg (Naproxen), 2 capsules as need for pain not to exceed 2 per day and Tylenol 325mg oral tablet by mouth every four hours for pain. Findings were verified by the Director of Nursing and the Administrator.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 5 of 7 patient records reviewed, for active patients with a hospice aide, it was noted by the nurse surveyor that the hospice aide care plans did not contain all the necessary information. For RRHV#3, RRNHV#1, RRNHV#2, RRNHV#5, and RRNHV#6, the care plan included that the hospice aide takes vital signs, but there were no parameters for when the registered nurse should be notified. Findings were verified by the Director of Nursing.”
-
Content (42 CFR 418.104(a)(3))
The inspectors’ words, 171 words
“Observed in Medication Management Tracer. In 1 of 9 patient records reviewed, for active patients, it was noted by the surveyor that the medication profile was inaccurate. During RRHV#1, with the LVN, it was noted during the medication reconciliation that there were several edits to the home medication list that were not reflected on the medication profile in the EMR. The indication for PRN Docusate Sodium 250mg, one capsule orally PRN was not on the printed medication sheet in the home, but was on the bottle in Spanish, the LVN had made the edit on the home medication sheet. Also, the patient was taking Fluoxetine HCL 10mg instead of the 20mg on the medication sheet. This had also been updated on the home medication sheet but not the medication profile in the EMR. Additionally, the family was using Calmoseptine ointment on the patient’s bottom and Vicks VapoRub on his chest, neither of these were on his medication profile. Findings were discussed with the Director of Nursing upon return to the office.”
-
Federal, state, local laws & regulations (42 CFR 418.116)
“Observed in Tracer Activities. It was noted by the nurse surveyor that the Hospice did not have a process in place to ensure that a Notice of Medicare Non-Coverage (NOMNC) was signed by the patient or patient’s representative at least two days prior to a planned discharge as required. Finding was verified by the Director of Nursing and the Administrator.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 18, 2024 | Follow-up inspection by The Joint Commission | 3 deficiencies cited |
| Mar 7, 2024 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 22, 2018.
- Ownership: for-profit.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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): 17.7 nurse care minutes per routine home care day, 21.3% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 73% at home, 27% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 17.7 min |
| Skilled nursing minutes at weekends | 21.3% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- 14 owners or officers are people: Nathan Julian (owns 5% or more directly, 25%); Nathan Julian (corporate officer, 25%); Sanaz Bourgeois (owns 5% or more directly, 20%); Sanaz Bourgeois (corporate officer, 20%); Kenneth J Garduno (owns 5% or more directly, 20%); Kenneth J Garduno (corporate director, 20%); Iffat Maqbool (owns 5% or more directly, 15%); Iffat Maqbool (corporate director, 15%); Christina Lizano (owns 5% or more directly, 10%); Christina Lizano (corporate officer, 10%); Christina Lizano (managing employee (on the payroll), 10%); Leyla Reyes (owns 5% or more directly, 10%); Leyla Reyes (corporate officer, 10%); James D Stevenson (corporate director).
- 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).
- 96.15% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
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 92 hospices CMS’s data show serving patients in ZIP code 91355, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 11.
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 |
|---|---|
| Premier Hospice & Home Care | 27 |
| Supreme Hospice and Palliative Care | 17 |
| Valencia Hospice Care This hospice | 11 |
| Vertex Hospice Care, Inc. | Not given |
| Devoted Health Hospice | 2 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Kaiser Foundation Hospital Valley Continuing Care | 10 |
| Assisted Home Hospice | 2 |
| Vitas Healthcare Corporation of California | 3 |
| Mission Hospice | 15 |
| St Liz Hospice, Inc. | Not given |
| Roze Room Hospice of the Valley | 2 |
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.