Hearth Record

Hospice of Hope

A hospice in Laguna Beach, California 92653

25301 Cabot Rd, Suite 116, Laguna Beach, California 92653. (949) 244-9621.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

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 4 deficiencies in 1 month of the last 36. Last cited Jul 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?

4 deficiencies cited in the last three years

The middle of the 91 hospices serving ZIP code 92653 had 8.

The last inspection on record was on Jul 17, 2025: an initial 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

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

4 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.

Jul 17, 2025: initial inspection by The Joint Commission4 deficiencies

  • Policies/Procedures for Medical Documentation (42 CFR 418.113(b)(3))

    The inspectors’ words, 128 words

    “Observed in Patient Home. In 1 of 3 home visits conducted, the organization failed to show use of a secure text message platform installed on the mobile device to protect the patient’s health information. For example, in RRHV #1, the Certified Home Health Aide (CHHA) when asked by the Surveyor a question regarding accessing the aide plan of care, showed the Surveyor on a personal mobile device the aide plan of care that had been texted to the CHHA’s personal cell phone the day of the survey. The residential facility owner also attested to the Surveyor, the CHHA and other staff text information to the facility’s personal cell phone regarding the patient. This was validated with the Alternate Administrator and reviewed with the Alternate Administrator and the Administrator.”

    Rule E0023. Standard-level.

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

    The inspectors’ words, 277 words

    “Observed in Record Review. In 1 of 5 patient records reviewed, the organization failed to establish individualized target dates based on the patient’s needs. All of the Nursing goals for every problem identified were expected to be reached within 10-14 days. In addition, although the calendar indicated a target date of the 14th date, it was unclear whether the goal needed to be achieved specifically on that day or at any point between the 10th and the 14th day. For example, in RRDC #2 ADL: goal: patient will meet all ADL needs within 10-14 days after a constant assistance from caregiver; target date: 4/18/25, family/CG will verbalize or demonstrate understanding and compliance with teachings related equipment safety and patient will remain safe at home free from injury within 10 to 14 days target date: 4/18/2025, GI: goal: In 10-14 days, patient’s constipation will be managed effectively with current medication as evidenced by increased comfort and regular bowel movement of once in every 1-2 days. target date: 4/18/2025, Neurological/Mental: goal: patient will participate in a structured routine that includes familiar objects and consistent caregiving to promote a sense of stability and recognition within 10 to 14 days target date: 4/18/2025, Nutrition: goal: in 10 to 14 days, patient will have adequate food and fluids as tolerated or desired and be able to eat 2-3 full meals per day with snacks between meals and no incidence of aspiration. target date: 4/18/25, and Sleep: goal: in 10 to 14 days, patients neurological status will improve as evidenced by adequate sleep of 7-8 hours at night. target date: 4/18/2025. This was validated and reviewed with the Administrator and the Alternate Administrator.”

    Rule L0545. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(2))

    “Observed in Record Review. In 5 of 5 patient records reviewed, the organization failed to establish an end duration for each discipline’s visits. For example, in RRDC #1 the frequencies are as follows: SN 1 per week. In RRDC #2, the frequencies of visits are as follows: LVN 1 per week. In RRHV #1, the Certified Home Health Aide frequencies were 2 per week, in RRHV #2 and #3 the LVN 1 per week with no end durations. This was validated and reviewed with the Alternate Administrator.”

    Rule L0547. Standard-level.

  • Serving the hospice patient and family (42 CFR 418.100(a)(1))

    “Observed in Patient Home. In 1 of 3 home visits conducted, the organization failed to maintain the patient’s privacy. For example, in RRHV #2 the Skilled Nurse (SN) greeted the patient in the living room area of the residential facility in which another resident was present during assessment of the patient. The SN asked questions regarding pain and lifted the patient’s clothes for a skin assessment in the living room area. This was validated with the Alternate Administrator and reviewed with the Administrator and the Alternate Administrator.”

    Rule L0650. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jul 17, 2025Initial inspection by The Joint Commission4 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Mar 9, 2020.
  • 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?

  • CMS hasn’t published nursing time from Medicare claims for this hospice.
Source:

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

Who owns it?

  • 4 owners or officers are people: Roland F Fernandez (owns 5% or more directly, 100%); Roland F Fernandez (corporate officer, 100%); Roland F Fernandez (corporate director, 100%); Roland F Fernandez (managing employee (on the payroll), 100%).
  • 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 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 91 hospices CMS’s data show serving patients in ZIP code 92653, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 4.
Source:

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

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

The 91 hospices CMS lists serving ZIP code 92653
PlaceDeficiencies, 3 years
Memorialcare Hospice and Palliative Services9
Care Plus Hospice10
California Mission Hospice, LLC12
Parentis Hospice24
Western Horizon Hospice and Palliative Care, Inc.6
Hospice of Hope This hospice4
Laguna Hills HospiceNot given
VNA of Greater Los Angeles, Inc.Not given
Vitas Healthcare Corporation of California3
Accentcare Hospice & Palliative Care of California3
Providence at Home With Compassus Hospice Care Orange County5
Bristol Hospice-Orange County8

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

Every fact names its source.

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

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.