Hearth Record

One Legacy Hospice & Palliative Care, Inc.

A hospice in Burbank, California 91502

178 South Victory Blvd., Suite #107, Burbank, California 91502. (818) 588-3273.

CMS’s own record, on Care Compare

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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.

The last 24 months 5 deficiencies in 1 month of the last 36. Last cited Dec 2025. Most serious: Condition-level. Every month

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?

5 deficiencies cited in the last three years

The middle of the 159 hospices serving ZIP code 91502 had 5.

The last inspection on record was on Jan 23, 2026: a follow-up inspection by The Joint Commission.

1 deficiency at condition level, the more serious of CMS’s two levels

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

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

5 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.

Dec 17, 2025: reaccreditation inspection by The Joint Commission5 deficiencies

  • Core services (42 CFR 418.64)

    “Observed in Leadership Session. The hospice has not provided core services directly by hospice employee’s. The surveyor noted during leadership discussion that all core services are being provided by 1099 individual contractors. Reviewed and confirmed with the CEO. Draft”

    Rule L0587. Condition-level.

  • Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))

    The inspectors’ words, 151 words

    “Observed in Record Review. In 2 of 14 patient records reviewed, Also noted in RRNHV#4 the hospice did not obtain the signature from the legally authorized representative for the admission consent, election of benefit and advanced directive documentation was signed by the patient. The patient was admitted to hospice for Cerebral atherosclerosis and senile degeneration of the brain with a FASTof 7A. The social worker comprehensive assessment noted the facility administrator was the legal guardian. Reviewed and confirmed with the CEO. Observed in Record Review. The hospice did not seek out the authorized representative when obtaining it’s written consent for hospice, the election of benefit and advanced directives. This was noted during record review for HV#3. The patient is on hospice for Post Cerebral Infarction and ES Alzheimer’s Disease with a FAST at 7F. The organization policy for Informed Consent/Refusal of Treatment No. 1-002.1 was not followed. Reviewed with the CEO.”

    Rule L0505. Standard-level.

  • Timeframe for completion of assessment (42 CFR 418.54(b))

    “Observed in Record Review. The hospice did not provide a timely initial social worker comprehensive assessment within the required timeframe. The surveyor noted during record review NHV#6 the initial social worker assessment was over three weeks delayed without documentation to support. Reviewed with CEO.”

    Rule L0523. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    The inspectors’ words, 131 words

    “Observed in Record Review. In 2 of 14 patient records reviewed, The surveyor noted two PRN medication orders for Acetaminophen one for 500 mg 1 tab PRN and another for 600 mg 1 tab PRN without specific indications for use. Reviewed with CEO. Observed in Patient Home. The organization did not have clear and accurate medication orders. This was noted during the medication review in one of three home visits (HV#3). The patient had active pain. Example two PRN orders for pain were active Acetaminophen 500 mg 1 tab 2 times per day PRN and Ibuprofen 600 mg 1 tab two times per day for pain and also noted to be given for increased temp per comfort level. The orders were not based on any specific indication. Reviewed with the CEO.”

    Rule L0549. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e)(3)(iv))

    “Observed in Record Review. The organization did not provide complete discharge information in 1of two discharged records reviewed. Upon live discharge for extended prognosis the surveyor noted in NHV#4 that the hospice did not provide the notice of non coverage as required. Reviewed and confirmed with the CEO.”

    Rule L0684. Standard-level.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Jan 23, 2026Follow-up inspection by The Joint CommissionNo deficiencies cited
Dec 17, 2025Reaccreditation inspection by The Joint Commission5 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Feb 22, 2019.
  • Ownership: for-profit.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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?

  • CMS hasn’t published nursing time from Medicare claims for this hospice.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
Source:

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

Who owns it?

  • CMS’s ownership file has no owners listed for this hospice.
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 gives no Hospice Care Index for this hospice.
Source:

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

How does it compare nearby?

  • Of the 159 hospices CMS’s data show serving patients in ZIP code 91502, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 5.
Source:

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

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

The 159 hospices CMS lists serving ZIP code 91502
PlaceDeficiencies, 3 years
Active Hospice Care, Inc.5
Valley’s Best Hospice, Inc.16
Lakeview Hospice Care Inc.25
California Hospice Corp.2
Encore Hospice, Inc.Not given
Faith in Angels Hospice0
Visiting Nurses Hospice, Inc.Not given
American Hospice, Inc.16
Healing Hands Care, Inc.Not given
A-1 Hospice Care Inc.5
Regal Hospice Health, Inc.7
Visiting Angels Hospice, Inc.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

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 8, 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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