A1 Healthcare
A hospice in Fair Oaks, California 95628
5006 Sunrise Blvd, Suite 202, Fair Oaks, California 95628. (916) 706-2513.
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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.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 37 hospices serving ZIP code 95628 had 6.
The last inspection on record was on Aug 29, 2024: an initial 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
7 deficiencies in 1 month of the last 36. Last cited Aug 2024. 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 29, 2024: initial inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 124 words
“Upon patient record review, 3 of 19 (Patients #1, #2, #14) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #1: The medication profile did not include Antifungal Powder 1% (8/7/24). Corrected on Site. Patient #2: The medication profile indicated an order for Polyethylene Glycol with no diluent (6/12/24). Corrected on Site. Patient #14: The medication profile indicated an order for Polyethylene Glycol with no diluent (11/29/23). Corrected on Site.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Upon patient record review, 1 of 19 (Patient #19 ) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 2 of 19 (Patients #2, #14) 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 medications and treatments. Patient #2: The Plan of Care did not include an order for Polyethylene Glycol with no diluent (6/12/24). Corrected on Site. Patient #14: The Plan of Care did not include an order for Polyethylene Glycol with no diluent (11/29/23). Corrected on Site.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 120 words
“Upon patient record review, 2 of 19 (Patients #17, #19) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the Bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patients #17, #19: Did not have individualized Bereavement Plan of Care that included frequency of services.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 246 words
“Upon patient record review 8 of 19 (Patients #2, #3, #5, #6, #8, #9, #11,#12) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care (POC) Patient #2: The POC listed Aide visit frequency of, 2 X’s per week (6/12/24). For first Benefit Week there was only 1 visit on 6/14/24. Patient #3: The POC listed Aide visit frequency of, 2 X’s per week (3/6/24). For first Benefit Week there were no visits by the Aide. Patient #5: The POC listed Aide visit frequency of, 5 X’s per week (5/16/24). For first Benefit Week there was only 1 visit on 5/17/24. Patient #6: The POC listed Aide visit frequency of, 3 X’s per week (7/24/24). For first Benefit Week there was only 1 visit on 7/25/24. Patient #8: The POC listed Aide visit frequency of, 2 X’s per week (7/18/24). For first Benefit Week there was only 1 visit on 7/19/24. Patient #9: The POC listed Aide visit frequency of, 2 X’s per week (11/1/23. For first Benefit Week there was only 1 visit on 11/3/23. Patient #11: The POC listed Aide visit frequency of, 2 X’s per week (6/12/24). For first Benefit Week there was only 1 visit on 6/13/24. Patient #12: The POC listed Aide visit frequency of, 2 X’s per week (7/4/24). For first Benefit Week there was only 1 visit on 7/5/24.”
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Training (42 CFR 418.100(g)(1))
“Upon personnel record review, 3 of 13 (Personnel #1, #2, #4 ) did not have evidence the hospice employees had received orientation on the hospice philosophy. Corrected on Site.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 8 of 19 (Patients #4, #7, #9, #14, #15, #16, #18, #19) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patients # #4, #7, #9, #14, #15, #16, #18, #19: The Hospice Medicare Election statemen not provide BFCC-QIO contact information.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 29, 2024 | Initial inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 21, 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): 12.4 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 89% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 7% in assisted living, 19% in a nursing facility, 3% 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 | 12.4 min |
| Skilled nursing minutes at weekends | 6.6% |
| Visits near death | 89.0% of patients who died |
Who owns it?
- 4 owners or officers are people: Jcthy Obtinalla (owns 5% or more directly, 100%); Jcthy Obtinalla (corporate officer); Jcthy Obtinalla (managing employee (on the payroll)); Edmund Yao (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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 65% 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).
- 89.3% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 39.9% 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 37 hospices CMS’s data show serving patients in ZIP code 95628, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 7.
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 |
|---|---|
| A1 Healthcare This hospice | 7 |
| Kaiser Foundation Hospital - Hospice | 3 |
| Uc Davis Hospice Program | Not given |
| Snowline Health | 7 |
| Mercy Hospice | 12 |
| Yolo Hospice | 12 |
| Sutter Care at Home | 2 |
| First Call Hospice | 6 |
| Vitas Healthcare Corporation of California | 1 |
| Bristol Hospice - Sacramento, LLC | 3 |
| Advanced Home Health and Hospice, Inc. | 5 |
| Green Valley Hospice, Inc. | 12 |
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.