Compassionate Care Hospice Central California, LLC
A hospice in Fresno, California 93711
7545 N Del Mar Ave Suite 204, Fresno, California 93711. (559) 432-2003.
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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.
- 4 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 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?
4 deficiencies cited in the last three years
The middle of the 30 hospices serving ZIP code 93711 had 6.
The last inspection on record was on Jul 15, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
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 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.
Jul 15, 2026: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 2 of 19 (Patients # 1, 3) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patients # 1, 3: Upon review of the patients’ initial comprehensive assessments, the records did not contain evidence of consideration of the imminence of death.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 186 words
“Upon patient record review, 4 of 19 (Patients # 1, 2, 3, 4) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient # 1: During home visit, patient had gauze, gloves, pull ups, wipes, and moisture barrier pads in their home for her use. These supplies were not listed on the current plan of care. Patient # 2: During home visit, patient had gloves, briefs, wipes, oral swabs, lemon swabs, oral syringes and moisture barrier pads in their home for her use. These supplies were not listed on the current plan of care. Patient # 3: During home visit, patient had gloves, pull ups, wipes, shampoo, lotion, and moisture barrier pads in their home for her use. These supplies were not listed on the current plan of care. Patient # 4: Patient’s supplies included briefs, heavy absorbable under pads, incontinent liners, wipes and gloves. This was verified with patient weekly delivery drop-ship order. These supplies were not listed on the current plan of care”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 143 words
“Upon client record review, 2 of 19 (Patients # 4,7) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient # 4: The IDG minutes for 2/6/26, 2/18/26, 3/4/26, 3/18/26 did not contain evidence of the MSW signature on the meeting attendance sign in page. The social worker was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation. Patient # 7: The IDG minutes for 4/3/26 did not contain evidence of the MSW signature on the meeting attendance sign in page. The social worker was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation.”
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Competency evaluation (42 CFR 418.76(c))
The inspectors’ words, 197 words
“Upon personnel record review, 1 of 14 (Personnel # 9) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. ·Reading and recording temperature, pulse, and respiration ·Safe transfer techniques and ambulation. ·Normal range of motion and positioning ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(A) Bed bath ·(B) Sponge, tub, and shower bath ·(C) Shampoo, sink, tub, and bed ·(D) Nail and skin care ·(E) Oral hygiene ·(F) Toileting and elimination The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel # 9: The hospice aide’s file did not contain evidence of a skill assessment for communication skills, including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff, or shampoo in the sink, tub and bed.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 15, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 4, 2020.
- Ownership: other.
- 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): 14.5 nurse care minutes per routine home care day, 5.2% of skilled nursing minutes at weekends and a visit near death for 97.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 78% at home, 12% in assisted living, 10% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.5 min |
| Skilled nursing minutes at weekends | 5.2% |
| Visits near death | 97.1% of patients who died |
Who owns it?
- 13 owners or officers are people: Kuljeet Kaleka (owns 5% or more directly, 40%); Shawnvir Kaleka (owns 5% or more directly, 40%); Nicholas Sanchez (owns 5% or more directly, 20%); Deborah Favila (corporate director, 0%); Ajit Singh Jhujj (corporate director, 0%); Ajit Singh Jhujj (managing employee (on the payroll), 0%); Nicholas Sanchez (corporate officer); Brent Alan Wilson (managing employee (under contract)); Shawnvir Kaleka (runs it (operational or managerial control)); Steven Sr Silva (corporate director); Steven Sr Silva (managing employee (on the payroll)); Cristiane Kasdorf Vega (managing employee (on the payroll)); Cristiane Kasdorf Vega (runs it (operational or managerial control)).
- 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?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 78% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 88.76% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 26% 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 | 4 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 | 10 of 10 |
How does it compare nearby?
- Of the 30 hospices CMS’s data show serving patients in ZIP code 93711, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 4.
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 |
|---|---|
| Hinds Hospice - Fresno | 3 |
| Bristol Hospice Fresno | 4 |
| Athena Hospice | 17 |
| Lenity Hospice LLC | 14 |
| Compassionate Care Hospice Central California, LLC This hospice | 4 |
| Fresno Hospice | 5 |
| Vitas Healthcare Corporation of California | 2 |
| Saint Agnes Home Health & Hospice | 6 |
| Aseracare Hospice | 6 |
| Bright Horizon Hospice Services | 19 |
| St Mary’s Hospice Services, Inc. | 19 |
| Ardent Hospice of Fresno | 23 |
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.