A Plus Hospice Care, Inc.
A hospice in El Monte, California 91731
10501 Valley Blvd, Suite 1216, El Monte, California 91731. (626) 279-1168.
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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.
- 5 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
5 deficiencies cited in the last three years
The middle of the 118 hospices serving ZIP code 91731 had 6.
The last inspection on record was on Feb 5, 2026: 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
5 deficiencies in 1 month of the last 36. Last cited Feb 2026. 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.
Feb 5, 2026: reaccreditation inspection by The Joint Commission5 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(iii))
“Observed in Patient Home. In 1 of 3 home visits conducted, it was noted the organization did not ensure that a thorough and ongoing medication reconciliation process was conducted. It was observed during home visits HOSRRHV#1 medication reconciliation was not completed during this visit. The nurse reported that medication reconciliation had been performed during the prior week’s visit. The Hospice Director confirmed that medication reconciliation is conducted on every visit as per policy. This finding was discussed and validated by the Hospice Administrator.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 130 words
“Observed in Record Review. In 6 of 6 active patient records, it was noted the organization failed to ensure that the hospice plan of care plan includes all services needed for the palliation and management of the terminal illness and related conditions, including medications necessary to meet the patient’s needs. Upon review of the records, multiple PRN pain medication ordered to be given for pain without specifying which PRN medication should be administered based on defined parameters. For example, in records of HOSRRHV#1, HOSRRHV#2, HOSRRHV#3, HOSRRNHV#1, HOSRRNHV#2, and HOSRRNHV#3, these patients were taking: Acetaminophen 650 mg 1 suppository every 6 hours as needed for pain and Morphine Sulfate IR 20mg/ml 15 ml SL every 2 hours as needed for pain. This finding was discussed and validated by the Hospice Director”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 164 words
“Observed in Record Review. In 2 of 6 active patient records reviewed, it was noted the organization failed to ensure that the care and services are provided in a accordance with the plan of care. For example, in review of record HOSRRHV#1, the hospice nurse was ordered to see patient 2 x per week, however, only one visit completed by LVN during the second week of benefit period #1. Also noted, the hospice aide was ordered to see patient 2 x per week, however, only one visit completed during the first week of benefit period #1. Another example in HOSRRHV#3, the hospice aide was ordered to see patient 2 x per week, however, only one visit completed during the first week of benefit period #1. Also noted, the skilled nurse was ordered to see patient 2 x per week, however, only one visit completed by LVN during the second week of benefit period #1. This finding was discussed and validated by the Hospice Director.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 167 words
“Observed in Record Review. In 4 of 5 active patient records with hospice aide services, it was noted the organization had failed to ensure that the written patient care instructions for a hospice aide must be prepared by a registered nurse who is responsible for the supervision of a hospice aide. For example, in record of HOSRRHV#1, the patient was on oxygen at 3 LPM via nasal cannula and G-tube feeing due to Dysphagia, however, the hospice aide care plan did not include additional instruction such as whether the oxygen could be removed for the bath, and to observe aspiration precaution secondary to g-tube feeding. Another example in HOSRRHV#2, no additional written instruction on the aide care plan such as oxygen precaution and bleeding precaution (patient had been taking Aspirin). HOSRRHV#3, HOSRRNHV#1, no additional instructions written in Aide CP related to home oxygen if aide was allowed to take it off and for how long while bathing/showering. This finding was discussed and validated by the Hospice Director.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 1 of 6 active patient records with hospice aide services, it was noted the organization failed to ensure that hospice aide supervision was conducted at the patient’s home no less than every 14 days as required. During review of record of HOSRRNHV#1, there was no evidence documented that the hospice aide had been supervised by the registered nurse on the 3 week of benefit period #1. This finding was discussed and validated by the Hospice Director.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 5, 2026 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 27, 2019.
- 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): 17.9 nurse care minutes per routine home care day, 9.8% of skilled nursing minutes at weekends and a visit near death for 90.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 17.9 min |
| Skilled nursing minutes at weekends | 9.8% |
| Visits near death | 90.6% of patients who died |
Who owns it?
- 10 owners or officers are people: Gui-Qin Zong (owns 5% or more directly, 45.1%); Gui-Qin Zong (corporate officer, 45.1%); Gui-Qin Zong (corporate director, 45.1%); Gui-Qin Zong (managing employee (on the payroll), 45.1%); Manman Xu (owns 5% or more directly, 25%); Bingbing Xu (owns 5% or more directly, 20.1%); Kesheng Wu (managing employee (under contract), 15%); Manman Xu (managing employee (on the payroll)); Bingbing Xu (corporate officer); Bingbing Xu (managing employee (on the payroll)).
- 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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.18% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 27.3% 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 | 8 of 10 |
How does it compare nearby?
- Of the 118 hospices CMS’s data show serving patients in ZIP code 91731, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 5.
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 |
|---|---|
| A Plus Hospice Care, Inc. This hospice | 5 |
| Gamma Hospice, Inc. | 12 |
| Avra Hospice Inc. | 3 |
| Kaiser Foundation Hospital Hospice Program | 3 |
| Hospice of Presbyterian | 8 |
| Vitas Healthcare Corp | 18 |
| Vitas Healthcare Corporation of California | 3 |
| All Care Hospice | 9 |
| Community Care Hospice | 11 |
| Verdugo Hospice Care Center | 0 |
| Hope International Hospice, Inc. | 18 |
| Accentcare Hospice & Palliative Care of California- Los Angeles | 6 |
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.