St Bernardine Hospice Care, Inc.
A hospice in Irvine, California 92618
6 Venture, Suite 365, Irvine, California 92618. (949) 397-2070.
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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.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 7of 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?
6 deficiencies cited in the last three years
The middle of the 54 hospices serving ZIP code 92618 had 8.
The last inspection on record was on Jun 26, 2025: an initial inspection by the Accreditation Commission for Health Care.
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
6 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 26, 2025: initial inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 13 of 14 (Patient #1,2,3,4,5,6,7,8,10,11,12,13,14) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patient #1,2,3,4,5,6,7,8,10,11,12,13,14: The RN comprehensive assessment did not contain evidence that imminence of death was being assessed.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 136 words
“Upon patient record review, 1 of 14 (Patient #1) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 1: Upon home visit 6/24/25 noted Acetaminophen Oral Solution 160 mg/5ml on updated POC 5/21/25 order is dose 10ml (320mg) every 6 hours PRN and patient medication bottle has directions to give Acetaminophen 160mg/5ml give 20 ml (640mg) po every 12 hours PRN. Corrected on site with updated medication sent from hospice pharmacy with a corrected label with the most current order on POC.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 145 words
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 7: Initial POC on 4/19/25 contains an order for Xarelto 2.5mg BID with no risk for bleeding noted in POC goals and interventions and Foley cath is noted in SN documentation and POC does address need to assess foley but no specifics regarding size, flush order or balloon on initial. Corrected on site POC updated to include risk for bleeding and foley was discontinued on 4/21/25 with an order.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 215 words
“Upon patient record review, 3 of 14 (Patient # 1,4,9) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 1: The updated POC 5/21/25 contains an order for Acetaminophen Oral Solution 160 mg/5ml Dose 10ml (320mg) every 6 hours PRN and patient medication bottle has directions to give Acetaminophen 160mg/5ml ml Dose 20 ml every 12 hours PRN. Corrected on site with updated medication order sent from hospice pharmacy to patient home and caregiver education provided. Patient 4: Initial POC 3/31/25 and updated POC at recertification on 5/22/25 contains an order for Foley cath change monthly with no orders for size of cath or balloon size. There is an order noted 4/1/25 for flush with 60 ml and SN documents on 3/31/25 in initial comprehensive assessment “foley changed with 16 FR 10 cc balloon.” There is no evidence for a complete order indicating size of Foley to use and balloon size. Corrected on site with order obtained complete for foley care and POC updated. Patient 9: Initial POC 6/9/25 contains an order for a foley to assess and change every month and prn if clogged with no details on size, balloon and flushing details.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon patient record review, 1 of 14 (Patient #4) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 4: SN documents on 3/31/25 in initial comprehensive assessment “foley changed with 16 FR 10 cc balloon.” There is no evidence for a complete order indicating size of Foley to use and balloon size. SN care provided without complete order on POC. Corrected on site with obtained complete order for foley care and POC addendum updated.”
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Competency evaluation (42 CFR 418.76(c))
The inspectors’ words, 133 words
“Upon personnel record review, 1 of 13 (Personnel # 6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed Personnel # 6: Initial and annual competency assessment does not include direct observation of Sponge and tub bath and Shampoo, sink, tub and bed. RN did not date and sign off on Shower/tub bath and competency assessment does not give breakdown of all options of bathing and shampoo options including sink, tub and bed shampoo.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 26, 2025 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 22, 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): 13.7 nurse care minutes per routine home care day, 8.4% 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): 84% at home, 16% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.7 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- 9 owners or officers are people: Arash G Milani (owns 5% or more directly, 50%); Livia M Shojaei (owns 5% or more directly, 50%); Livia M Shojaei (corporate officer, 50%); Livia M Shojaei (managing employee (on the payroll), 50%); Livia M Shojaei (runs it (operational or managerial control), 50%); Arash G Milani (corporate director, 33%); Livia M Shojaei (corporate director, 33%); Mohammadreza Habibi (managing employee (on the payroll)); Ashish Malhotra (managing employee (under contract), 0%).
- 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: 7 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).
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 | 7 of 10 |
How does it compare nearby?
- Of the 54 hospices CMS’s data show serving patients in ZIP code 92618, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 6.
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 |
|---|---|
| Silverado Hospice Inc. | 16 |
| St Bernardine Hospice Care, Inc. This hospice | 6 |
| VNA of Orange County LLC - Hospice | 5 |
| Carechoices Hospice and Palliative Services, LLC | 18 |
| Salus Hospice | 19 |
| Valley Oaks Hospice, Inc. | 9 |
| Acacia Hospice and Palliative Services | 8 |
| Heartford Hospice | 15 |
| Newport Hospice | 12 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Memorialcare Hospice and Palliative Services | 9 |
| Vitas Healthcare Corporation of California | 3 |
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.