Advocare Hospice, Inc.
A hospice in Garden Grove, California 92840
12377 Lewis St., Ste. 103, Garden Grove, California 92840. (714) 256-7348.
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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
- 10of 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 138 hospices serving ZIP code 92840 had 8.
The last inspection on record was on Sep 26, 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 Sep 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.
Sep 26, 2024: reaccreditation inspection by The Joint Commission9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Record Review. In 1 of 10 patient records reviewed, During HV#2 record review it was noted on the medication profile the patient was prescribed insulin and three other oral antidiabetic medications. The initial RN assessment lacked an evaluation of the patient’s diabetic status. This was discussed with the organization leadership.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 196 words
“Observed in Record Review. In 4 of 10 patient records reviewed, During HV#1 record review it was noted an order for Apixaban 2.5 mg twice a day. The POC lacked interventions related to S/S bleeding and bleeding precautions instruction to the pt./PCG. Also in HV#1 record review, GI goals were established on the POC without documented interventions to accomplish the goals. During HV#2 record review it was noted GI and skin integument system goals without interventions on the POC to accomplish the goals. There was lack of spiritual interventions on the POC with a frequency once a month visits. During RR#1 it was noted for the skin/integumentary section there were goals established without interventions to accomplish the goal. The patient was prescribed ASA 81 mg daily po without instruction added to the POC to assess S/S bleeding and instruction on bleeding precautions. During RR#3 it was noted a frequency of visits for the Spiritual Counselor (SC) on the POC however the POC lacked interventions for the SC. During RR#4 it was noted the MSW had a frequency of visits on the POC of 1x/month. The POC lacked psychosocial interventions. This was discussed with the organization leadership.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 2 of 10 patient records reviewed, During RR#1 it was noted an order for the volunteer one time plus PRN. The order lacked the number or reason for PRN visits. The patient is visited weekly by a volunteer. During RR#3 it was noted an order for the volunteer one time then PRN. The order lacked the reason or number for the PRN visits. This was discussed with the organization leadership.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 10 of 10 patient records reviewed, During HV#1-#3 and RR#1-#7 record reviews it was noted oxygen orders for different liter flows based on mild, moderate or severe shortness of breath. The order lacked the specific parameters to assess mild, moderate and severe shortness of breath. This was discussed with the organization leadership.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 228 words
“Observed in Record Review. In 4 of 10 patient records reviewed, During HV#2 record review it was noted on the POC summary orders, other an order for the family/PCG to check fingerstick blood glucose three times per day. The SN visit notes after the order was written lack documentation that the family is checking the patient’s blood sugar three times per day and lacked documentation of any blood sugar readings. In addition in HV#2 record reivew it was noted an order for the chaplain to visit once a month. There was lack of documentation for a visit in August 2024 without a reason for the missed visit. During RR#3 it was noted a frequency of visits for the chaplain on the POC was 1x/month. There was documentation of one visit in July 2024 after the initial assessment for the last 4 months without a documented reason the frequency was not followed. During HV#3 record review it was noted the following goals and interventions: Patient`s blood sugar will be well-controlled and not developing any DKS or HHS during the next 14 days. Interventions: Follow lab orders as specified. Report results to MD. Instruct pt./pcg regarding new medication/treatment order and side effects. Monitor/assess effectiveness of current and new medication/treatment. The SN visit assessments from the SOC to present lacked documentation of diabetic assessments. This was discussed with the organization leadership.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 164 words
“Observed in Patient Home. In 2 of 3 home visits conducted, During HV#1 it was noted the SN, after cleaning the equipment used during the visit that included a stethoscope, digital BP machine, thermometer and pulse oximeter, did not adhere to the wet to dry contact time of 2 minutes per the manufacturer direction for disinfection. After wiping down the equipment, it was immediately placed in her bag. During HV#3 it was noted the SN did not adhere to the 2 minute wet to dry contact time for the product used to disinfect the vital sign equipment used. This was discussed with the organization leadership. Observed in Patient Home. In 1 of 3 home visits conducted, During HV#1 it was noted the SN missed multiple opportunities to disinfect her hands after her gloves were removed during the care provided to the patient. In addition, she entered her nursing bag without removing her gloves and performing hand hygiene. This was discussed with the organization leadership.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 2 of 8 patient records reviewed, who received hospice aide serivces. During RR#3 and RR#7 it was noted an order for oxygen therapy 2-5L PRN via NC for shortness of breath on the aide assignment POC. The direction to the aide lacked which liter flow to use if indicated. This was discussed with the organization leadership.”
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Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 1 of 10 patient records reviewed, During RR#4 it was noted lack of documentation during two SN visits after a wound care specialist consult with physician orders for a specific wound care procedure to be performed during SN visits. The documentation lacked the components of the wound care order and stated wound care for a blister on the left lower extremity was performed. This was discussed with the organization leadership.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
The inspectors’ words, 114 words
“Observed in Record Review. In 1 of 2 patient records reviewed, who were discharged alive. During Live D/CRR#1 it was noted the patient was transferred to a hospital ED post fall. There was lack of documentation that the hospice provided the receiving facility with a copy of the hospice discharge summary and, if requested, a copy of the patient’s clinical record. This was discussed with the organization leadership. Observed in Record Review. In 1 of 2 patient records reviewed, who were discharged alive. During Live D/CRR#2 it was noted the discharge summary lacked documentation of notice to the attending physician of the availability of the discharge summary. This was discussed with the organization leadership.
”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 26, 2024 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 16, 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): 12.9 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 89.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 80% at home, 12% in assisted living, 8% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.9 min |
| Skilled nursing minutes at weekends | 6.6% |
| Visits near death | 89.8% of patients who died |
Who owns it?
- 6 owners or officers are people: Donald P Pagaduan (owns 5% or more directly, 100%); Donald P Pagaduan (corporate officer, 100%); Donald P Pagaduan (corporate director, 100%); Donald P Pagaduan (managing employee (on the payroll), 100%); Donald P Pagaduan (runs it (operational or managerial control), 100%); Pin Hung Hsieh (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: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 90.16% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 38.6% 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 | 10 of 10 |
How does it compare nearby?
- Of the 138 hospices CMS’s data show serving patients in ZIP code 92840, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; 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 |
|---|---|
| Advocare Hospice, Inc. This hospice | 9 |
| Warm Care Hospice and Palliative Care | 4 |
| Coastal Hospice of Socal, Inc. | 22 |
| Happy Hospice | 3 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| VNA of Greater Los Angeles, Inc. | Not given |
| Memorialcare Hospice and Palliative Services | 9 |
| Vitas Healthcare Corporation of California | 3 |
| Accentcare Hospice & Palliative Care of California | 3 |
| Providence at Home With Compassus Hospice Care Orange County | 5 |
| Bristol Hospice-Orange County | 8 |
| Silverado Hospice Inc. | 16 |
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.