American Compassionate Hospice Care Inc.
A hospice in Bakersfield, California 93309
5531 Business Park S, Ste 202a, Bakersfield, California 93309. (661) 619-1271.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 11 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 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?
11 deficiencies cited in the last three years
The middle of the 54 hospices serving ZIP code 93309 had 7.
The last inspection on record was on Aug 13, 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
11 deficiencies in 1 month of the last 36. Last cited Aug 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.
Aug 13, 2026: reaccreditation inspection by The Joint Commission11 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 2 applicable records reviewed, there was no evidence that hospice revocation documentation was presented to and completed by the patient at the time of the discharge request. Specifically, in DC#1, the patient elected to revoke hospice services; however, the signed revocation statement could not be located in the medical record. This finding was confirmed by the Director of Patient Care Services.”
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 4 of 12 records reviewed, the initial bereavement assessment was not completed as part of the patient’s comprehensive assessment. Specifically, in RRHV#2, the initial bereavement assessment was completed 34 days after the patient elected hospice services. In RRNHV#5, RRNHV#7, and RRNHV#8, the bereavement assessments were completed 6 days after the election of hospice services. This was confirmed by the Director of Patient Care Services.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Record Review. In 1 of 12 records reviewed, the initial comprehensive assessment was not completed within five calendar days of the start of care. Specifically, in DC#1, the psychosocial and spiritual assessments were not completed during the patient’s 7 days on hospice. This finding was confirmed by the Director of Patient Care Services.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of the 12 records reviewed, the required initial bereavement assessment was not completed as part of the comprehensive assessments. Specifically, for DC#1, the initial bereavement assessment was not completed during the patient’s 7-day hospice admission. These findings were confirmed by the Director of Patient Care Services.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 156 words
“Observed in Record Review. In 6 out of 12 records, the plan of care goals were not measurable. Examples include the following: In RRHV#1: Oxygen treatment to achieve and maintain patient comfort. In RRHV#2: Achieve and maintain peripheral circulation for patient comfort; Pain will remain in comfortable level during patient care; Patient will have decreased anxiety related to respiratory changes. In RRNHV#3: Blood sugar management; Resident will have normal bowel movements throughout certification period; Pain will remain in comfortable level during care. In RRNHV#4: Reduce discomfort with improved bowel elimination status. Pain will remain in comfortable level during care with hospice; Oxygen treatment to achieve and maintain patient comfort. In RRNHV#6; Blood sugar management for patient comfort. Patient will have decreased anxiety related to respiratory changes. In RRNHV#7: Pain will remain in comfortable level during care with hospice; Oxygen treatment to achieve and maintain patient comfort. This was confirmed by the Director of Patient Care Services.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 276 words
“Observed in Tracer Visit. In 2 of 12 records reviewed, discrepancies were identified in the Plan of Care (POC) orders. For example, in RRHV#1, the POC included an order for oxygen therapy at 2 LPM as needed for shortness of breath (SOB). However, during the surveyor’s home interview, the primary caregiver reported that the patient had never received oxygen therapy in the home. Further review of the initial comprehensive assessment and ongoing assessment documentation revealed no evidence of home oxygen use. In RRHV#2, the POC contained conflicting oxygen therapy orders. Under DME, the POC listed an order for continuous high-flow nasal cannula oxygen at 40 LPM with 40% FiO2. A separate order within the POC specified continuous oxygen administration at 15 LPM via face mask. These orders were inconsistent and lacked clarification regarding the prescribed oxygen therapy regimen. These findings were discussed with the Director of Patient Care Services. Observed in Tracer Visit. In 9 of 12 records reviewed, multiple PRN medications were ordered to manage the same symptom without clear guidance on when to use each. For example, in RRHV#1, both Ativan and Morphine Sulfate were ordered for the management of shortness of breath (SOB), but no instructions were provided specifying when each medication should be used. Similarly, in RRHV#2, RRNHV#3, and DC#2, Albuterol Sulfate, Ativan, and Morphine Sulfate were ordered to manage shortness of breath (SOB) without guidance on when each medication should be administered. In RRNHV#4, RRNHV#5, RRNHV#6, RRNHV#7 and RRNHV#8, Albuterol Sulfate and Morphine Sulfate were ordered to manage shortness of breath (SOB) without clear guidance on when to use each. These findings were confirmed by the Director of Patient Care Services.”
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Review of the plan of care (42 CFR 418.56(d ))
“Observed in Tracer Visit. In 2 of 12 records reviewed, the Interdisciplinary Group (IDG) failed to review and/or revise the plan of care at least every 15 calendar days. Specifically, in RRHV #1, there was a 66-day gap between documented IDG plan of care review meetings. In RRHV#2, there was a 63-day gap between documented IDG plan of care review meetings. These findings were confirmed by the Director of Patient Care Services.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 99 words
“Observed in Tracer Visit. In 2 of 12 records reviewed, hospice aide supervision visits were not conducted at least every 14 days as required. For example, in RRHV#2, during Benefit Periods 1 and 2, there were three instances in which aide supervisory visits were not completed within the required timeframe. The intervals between supervisory visits were 28 days, 18 days, and 19 days, respectively. In RRHV#1, there was one instance in which the aide supervisory visits were not completed within the required timeframe. This interval was 34 days. These findings were confirmed by the Director of Patient Care Services.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 5 of 5 live discharge records reviewed, there was no evidence that a copy of the discharge summary had been forwarded to the patient’s attending physician. Specifically, in RRNHV#5, RRNHV#7, RRNHV#9, DC#1, and DC#2, the medical record did not contain documentation demonstrating that the discharge summary was sent to the attending physician. This finding was confirmed by the Director of Patient Care Services.”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(i))
“Observed in Record Review. In 5 of 5 discharge summaries reviewed, the organization failed to include required information necessary to support continuity of care. Specifically, the discharge summaries for RRNHV#5, RRNHV#7, RRNHV#9, DC#1, and DC#2 did not contain documentation of treatments provided and symptoms addressed. This finding was confirmed by the Director of Patient Care Services.”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(ii))
“Observed in Record Review. In 5 of 5 discharge summaries reviewed, the organization failed to include required information necessary to support continuity of care. Specifically, the discharge summaries for RRNHV#5, RRNHV#7, RRNHV#9, DC#1, and DC#2 did not contain the patient’s current plan of care. This finding was confirmed by the Director of Patient Care Services.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 13, 2026 | Reaccreditation inspection by The Joint Commission | 11 deficiencies 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): 12.6 nurse care minutes per routine home care day, 18% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 80% at home, 20% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.6 min |
| Skilled nursing minutes at weekends | 18% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- 12 owners or officers are people: Mohammed Adil (corporate officer, 33.34%); Mohammed Adil (corporate director, 33.34%); Mohammed Adil (managing employee (on the payroll), 33.34%); Mohammed Adil (runs it (operational or managerial control), 33.34%); Adil J Akhtar (corporate officer, 33.33%); Adil J Akhtar (corporate director, 33.33%); Adil J Akhtar (runs it (operational or managerial control), 33.33%); Shahrukh Sanjana (corporate officer, 33.33%); Shahrukh Sanjana (corporate director, 33.33%); Shahrukh Sanjana (runs it (operational or managerial control), 33.33%); Syed Alam (managing employee (under contract)); Syed Alam (owns 5% or more directly).
- 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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 80% 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 | 9 of 10 |
How does it compare nearby?
- Of the 54 hospices CMS’s data show serving patients in ZIP code 93309, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 11.
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 |
|---|---|
| Bristol Hospice - Bakersfield | 0 |
| Gentiva | 18 |
| Traditions Health | 2 |
| American Compassionate Hospice Care Inc. This hospice | 11 |
| Adventist Health Home Care Services | 1 |
| Lenus Care LLC | 20 |
| Liborah Hospice | Not given |
| Hoffmann Hospice | 3 |
| Bakersfield Community Hospice, Inc. | 4 |
| Ararat Hospice Care, Inc. | 7 |
| American Hospice Care, Inc. | 7 |
| Aasta Hospice | 21 |
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.