Bristol Hospice- Lancaster
A hospice in Lancaster, California 93534
44151 15th Street West, Suite 201, Lancaster, California 93534. (661) 674-3300.
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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.
- 2 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?
2 deficiencies cited in the last three years
The middle of the 207 hospices serving ZIP code 93534 had 5.
The last inspection on record was on Jan 10, 2024: a reaccreditation inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 10, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 209 words
“It is required that the hospice Interdisciplinary Group, in consultation with the individual’s attending physician (if any), completes an initial comprehensive assessment no later than five (5) calendar days after the election of hospice care. This standard was not met as evidenced by clinical record review and interview. In 1 of 14 (7%) clinical records reviewed, the hospice did not ensure that the interdisciplinary group completed the comprehensive assessment no later than five (5) calendar days after the election of hospice care. Clinical Record 10: The patient elected hospice care on 11/10/2023. The initial comprehensive assessment documented the need for a spiritual care evaluation. A review of the clinical record revealed the Chaplain made a phone call to the patient on 11/16/2023, six (6) days after the patient’s election of hospice care. The spiritual care assessment was documented on 11/24/2023 (visit date at the request of the family). During an interview on 1/8/2024, the Regional Director of Clinical Operations and the Executive Director/Director of Patient Care Services confirmed this finding. In 1 of 14 (7%) clinical records reviewed in which a comprehensive assessment was performed, revealed the hospice did not ensure that the interdisciplinary group completed the comprehensive assessment within 5 calendar days after the election of hospice care.”
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Role (42 CFR 418.78(b))
The inspectors’ words, 332 words
“It is required that volunteers are used in day-to-day administrative and/or direct patient care roles. Volunteer services are noted in the plan of care and documented in the patient record. This standard was not met as evidenced by clinical record review and interview. In 9 of 14 (64%) clinical records reviewed, the hospice did not ensure that volunteer services were offered. Clinical Record 1: The patient elected hospice care on 6/14/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 2: The patient elected hospice care on 4/21/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 3: The patient elected hospice care on 5/5/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 6: The patient elected hospice care on 9/13/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 7: The patient elected hospice care on 7/6/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 8: The patient elected hospice care on 7/3/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 12: The patient elected hospice care on 10/25/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 13: The patient elected hospice care on 5/10/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. Clinical Record 14: The patient elected hospice care on 5/18/2023. A clinical record review revealed no documented evidence that volunteer services were offered or declined. During interviews on 1/8/2024 and 1/9/2024, the Regional Director of Clinical Operations and the Executive Director/Director of Patient Care Services confirmed the findings. In 9 of 14 (64%) clinical records revealed there was no evidence that a volunteer was offered and/or the patient declined volunteer services.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 10, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 18, 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): 11.7 nurse care minutes per routine home care day, 5.4% of skilled nursing minutes at weekends and a visit near death for 85% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 87% at home, 6% in assisted living, 7% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.7 min |
| Skilled nursing minutes at weekends | 5.4% |
| Visits near death | 85.0% of patients who died |
Who owns it?
- Optimal Health Services, Inc. owns 100% directly since Jan 1, 2004.
- 11 owners or officers are people: Wanes Barsemian (managing employee (under contract), 0%); Alex Edward Mauricio (corporate officer, 0%); Alex Edward Mauricio (corporate director, 0%); John Charles Garbarino (corporate officer, 0%); John Charles Garbarino (corporate director, 0%); Michael Derrick (corporate officer, 0%); Betty J Brennan (corporate director, 0%); Hyrum Kirton (corporate director); Basil James Felix (managing employee (on the payroll), 0%); David A Malm (corporate officer, 0%); David A Malm (corporate director, 0%).
- A private-equity firm is 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 |
|---|---|---|---|
| Bristol Hospice Holdings Inc. | Owns 5% or more through other companies | 100% | Jul 13, 2018 |
| Optimal Health Services, Inc. | Owns 5% or more directly | 100% | Jan 1, 2004 |
| Bristol Ultimate Holdco, LP | Owns 5% or more through other companies | 100% | Jan 25, 2022 |
| Bristol Hospice, L.L.C. | Owns 5% or more through other companies | 100% | Jul 13, 2018 |
| Bristol Hospice Topco Inc. | Owns 5% or more through other companies | 100% | Jul 13, 2018 |
| Webster Equity Partners Bristol Cf LP | Owns 5% or more through other companies | 69.8% | Jan 25, 2022 |
| Aware Super Pty, Ltd. | Owns 5% or more through other companies | 8.28% | Jan 24, 2022 |
| Webster Equity Partners IV Bristol Cf LP | Owns 5% or more through other companies | 5.72% | Jan 25, 2022 |
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): 80% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 27.2% 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 | 9 of 10 |
How does it compare nearby?
- Of the 207 hospices CMS’s data show serving patients in ZIP code 93534, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 2.
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 |
|---|---|
| Valley’s Best Hospice - Av | 9 |
| Oasis Hospice | 11 |
| Bristol Hospice- Lancaster This hospice | 2 |
| Maximum Palliative Care and Hospice, Inc. | 17 |
| United Alliance Hospice Care, Inc. | 12 |
| Anthem Hospice | 0 |
| Rose Desert Hospice | 9 |
| Kaiser Foundation Hospital Valley Continuing Care | 10 |
| Vitas Healthcare Corporation of California | 3 |
| Mission Hospice | 15 |
| Bristol Hospice- Greater Los Angeles | 8 |
| H & A Hospice Inc. | 42 |
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.