Hearth Record

Helpful Hands Hospice Care Inc.

A hospice in Monrovia, California 91016

2670 S Myrtle Ave, Suite D-203, Monrovia, California 91016. (626) 538-4818.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. Every month

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?

3 deficiencies cited in the last three years

The middle of the 97 hospices serving ZIP code 91016 had 5.

The last inspection on record was on Apr 9, 2025: a reaccreditation inspection by The Joint Commission.

Source:

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

3 deficiencies in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Apr 9, 2025: reaccreditation inspection by The Joint Commission3 deficiencies
  • Patient outcome measures (42 CFR 418.54(e)(2))

    The inspectors’ words, 102 words

    “Observed in Record Review. In 1 of 10 patient records reviewed, It was noted a clinical note was not accurately documented. During HVRR#2 it was noted the MSW documented during the psychosocial/ emotional initial assessment that the patient dx was Alzheimer’s with episodes of agitation, visual hallucinations and frequent periods of agitation controlled with existing medications. There was lack of a diagnosis of Alzheimer’s disease on the POC and no medications on the medication profile related to relief of agitation. The patient was assessed during each SN visit as alert, awake and oriented to person. This was discussed with the organization leadership.”

    Rule L0535. Standard-level.

  • IDG, care planning, coordination of services (42 CFR 418.56)

    The inspectors’ words, 212 words

    “Observed in Record Review. In 6 of 10 patient records reviewed, During RR#2 it was noted the following conditions, dx and/or history were not added to the POC however there were interventions and goals established on the POC for cirrhosis, opioid use disorder and fungal nail infection. During RR#1 it was noted the following conditions, dx and/or history of diabetes and bipolar disorder were not added to the POC, however there were interventions and goals for both deficits. During RRHV#3 it was noted the following conditions, dx and/or history, type 2 diabetes, chronic pain syndrome, and UTI assessed by the RN during the initial assessment were not added to the POC, however there were interventions and goals for the deficits identified. During RR#4 it was noted diabetes was not added to the POC as a dx/related condition however there were interventions and goals related to the diabetes. During RR#5 it was noted HTN was not added to the POC as a dx/hx however there were interventions and goals added to the POC related to HTN. During RR#6 it was noted Diabetes type 2 was not added to the POC as a dx/hx however there were interventions and goals added to the POC related to diabetes. This was discussed with the organization leadership.”

    Rule L0536. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e)(1)(i))

    “Observed in Record Review. In 1 of 2 patient records reviewed, for patients who were discharged. During Live D/C#1 it was noted lack of documentation that a discharge summary was sent to the hospital where the patient was admitted. This was discussed with the organization leadership.”

    Rule L0682. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Apr 9, 2025Reaccreditation inspection by The Joint Commission3 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jul 23, 2018.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 7.9 nurse care minutes per routine home care day, 26% of skilled nursing minutes at weekends and a visit near death for 46.3% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 76% at home, 24% in a skilled nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day7.9 min
Skilled nursing minutes at weekends26%
Visits near death46.3% of patients who died

Who owns it?

  • 7 owners or officers are people: Liana Khachatryan (owns 5% or more directly, 100%); Liana Khachatryan (corporate officer, 100%); Alina Tergrigorian (managing employee (on the payroll), 0%); Liana Khachatryan (corporate director, 0%); Liana Khachatryan (managing employee (on the payroll)); Liana Khachatryan (runs it (operational or managerial control)); Hayk V Papukhyan (managing employee (under contract), 0%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

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).
  • 83.33% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 7.1% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not 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 threshold7 of 10

How does it compare nearby?

  • Of the 97 hospices CMS’s data show serving patients in ZIP code 91016, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 3.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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