Silverado Hospice Coastal Valleys
A hospice in Temecula, California 92590
27710 Jefferson Ave, Suite 200, Temecula, California 92590. (951) 394-0959.
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.
- 1 deficiency cited in the last three years
- 3of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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?
1 deficiency cited in the last three years
The middle of the 35 hospices serving ZIP code 92590 had 7.
The last inspection on record was on Jun 16, 2026: a complaint inspection by the state.
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
1 deficiency in 1 month of the last 36. Last cited Jun 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.
Jun 5, 2026: reaccreditation inspection by The Joint Commission1 deficiency
-
Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 1 of 4 Hospice visits observed and record documentation and confirmed by the Patient Care Manager. The patient medication record had not been accurate. Example: During Hospice home visit and record review for HOSrrhv#3 the patient had stated that she had been utilizing BenGay for arthritic pain. During review of the patient record the medication profile had not documented the use of BenGay.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 16, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jun 5, 2026 | Reaccreditation inspection by The Joint Commission | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jul 29, 2020.
- 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): 14.1 nurse care minutes per routine home care day, 8.7% of skilled nursing minutes at weekends and a visit near death for 95.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 49% at home, 29% in assisted living, 11% in a nursing facility, 10% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.1 min |
| Skilled nursing minutes at weekends | 8.7% |
| Visits near death | 95.5% of patients who died |
Who owns it?
- Silverado Senior Living Holdings Inc. owns 100% directly since Jan 3, 2019.
- 19 owners or officers are people: Loren B Shook (corporate officer, 50%); Loren B Shook (owns 5% or more through other companies, 17.53%); Angela Dey Collins (managing employee (on the payroll), 0%); Angela Dey Collins (runs it (operational or managerial control), 0%); Kamran A Qureshi (managing employee (under contract), 0%); Loren B Shook (managing employee (on the payroll)); Catherine Quinn Davis (corporate director, 0%); Catherine Quinn Davis (managing employee (on the payroll), 0%); Heather Kemnetz (managing employee (on the payroll), 0%); Carmin Tomassi (corporate officer, 0%); Carmin Tomassi (managing employee (on the payroll), 0%); John C Lewis (corporate director); Vanessa Joy Roberts (managing employee (on the payroll), 0%); Sean Robledo (managing employee (on the payroll), 0%); Angela M Mouton (runs it (operational or managerial control), 0%); Wayne Sanner (corporate officer, 0%); Wayne Sanner (corporate director, 0%); Wayne Sanner (managing employee (on the payroll), 0%); Brian Stern (corporate director).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Silverado Senior Living Holdings Inc. | Owns 5% or more directly | 100% | Jan 3, 2019 |
| Silverado Shareholders LLC | Owns 5% or more through other companies | 90.07% | Jun 1, 2025 |
| Rlh Silverado LP | Owns 5% or more through other companies | 47.12% | Jun 1, 2025 |
| Richard Riordan Administrative Trust | Owns 5% or more through other companies | 26.01% | Jun 1, 2025 |
| C Shook Trust | Owns 5% or more through other companies | 12.58% | Jun 1, 2025 |
| Nancy Smith Family Trust | Owns 5% or more through other companies | 9.29% | Jun 1, 2025 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 55% 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 | 3 of 5 |
| 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 | 9 of 10 |
How does it compare nearby?
- Of the 35 hospices CMS’s data show serving patients in ZIP code 92590, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 1.
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 |
|---|---|
| Good Heart Hospice and Palliative Care | 35 |
| Silverado Hospice Coastal Valleys This hospice | 1 |
| MD Choice Hospice Care Inc. | 72 |
| Greatness Hospice, Inc. | Not given |
| Eagle Glen Hospice Care | 8 |
| Elizabeth Hospice | 15 |
| Vnacare | 6 |
| Vitas Healthcare Corporation of California | 4 |
| Hospice of the Valleys | Not given |
| Lightbridge Hospice | 11 |
| Hope Hospice & Healthcare, Inc. | 3 |
| Bella Terra Hospice | 1 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.