Hearth Record

High Care Hospice, Inc.

A hospice in Riverside, California 92507

2030 Iowa Avenue, Suite 110, Riverside, California 92507. (760) 469-9639.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 10 deficiencies in 1 month of the last 36. Last cited Mar 2024. 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?

10 deficiencies cited in the last three years

The middle of the 125 hospices serving ZIP code 92507 had 8.

The last inspection on record was on Mar 1, 2024: 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

10 deficiencies in 1 month of the last 36. Last cited Mar 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

10 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

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.

Mar 1, 2024: initial inspection by The Joint Commission10 deficiencies
  • EP Training Program (42 CFR 418.113(d)(1)(i))

    “Observed in Tracer Activities. During the review of the Volunteer Training Program, it was noted that education on their role during an emergency was not included in the initial training for volunteers. Finding was verified by the DPCS/Volunteer Coordinator.”

    Rule E0037. Standard-level.

  • Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))

    “Observed in Record Review. In 1 of 2 patient records reviewed, for discharged patients, the nurse surveyor noted that the organization did not follow their revocation process. For RRDC#1, the patient revoked hospice to seek aggressive treatment however, the signed revocation statement was not in the EMR and could not be found. Finding was verified by the Director of Patient Care Services.

”

    Rule L0505. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(7))

    The inspectors’ words, 113 words

    “Observed in Record Review. In 1 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that the initial bereavement risk assessment had not been completed as required. For RRNHV#2, it is agency practice for the medical social worker to complete the initial bereavement risk assessment. The social worker documented the difficulty she was having in setting up a time to visit the patient and her daughter and the date for the visit kept getting pushed out further and further. When the medical social worker did make the visit, she did not document an initial bereavement risk assessment. Finding was verified by the Director of Patient Care Services.”

    Rule L0531. Standard-level.

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

    The inspectors’ words, 100 words

    “Observed in Record Review. In 3 of 10 patient records reviewed, for active hospice patients the nurse surveyor noted that the goals were not measurable for RRHV#1, RRHV#2, and RRNHV#1. For example, “Patient will have a lower Blood Pressure,” and “Pain will remain in comfortable level during care.” Additionally, there were no short-term goals at start of care to address issues of immediate needs such as understanding medication management, symptom management, pain management, mobility, or safety, all goals were to be achieved by the end of the hospice benefit period. Findings were verified by the Director of Patient Care Services.”

    Rule L0545. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    “Observed in Record Review. In 1 of 10 patient records reviewed, for active patients, it was noted by the surveyor that care was not provided according to the individualized plan of care. For RRHV#1, the hospice aide frequency was increased to four times a week, however the hospice aide did not see the patient at the increased frequency until a week after the plan of care was changed. Finding was validated by the Director of Patient Care Services.”

    Rule L0555. Standard-level.

  • Prevention (42 CFR 418.60(a))

    The inspectors’ words, 121 words

    “Observed in Patient Home. In 1 of 3 home visits conducted, it was observed by the Nurse Surveyor that the organization did not implement the infection prevention and control activities it had planned per their “Hand Hygiene Policy No. 7-009.1”. For example, during RRHV#1 the hospice aide performed hand hygiene upon entering the home, then donned gloves. The hospice aide then touched items in the patient’s room, assisted her to the bathroom, assisted her to undress and get in the shower and washed her back all with the same pair of gloves on and not performing hand hygiene at designated time frames defined per policy. Finding was verified by the Director of Patient Care Services who was present during the visit.”

    Rule L0579. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 157 words

    “Observed in Record Review. In 3 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that for RRHV#1, the hospice aide care plan had numerous sections blank. It did not address skin care or hair care, or whether the patient’s oxygen could be removed for the patient’s bath/shower if it was on at the time of the hospice aide’s visit. For RRHV#2, the hospice aide care plan had not been updated to reflect requested changes to the plan to have the hospice aide assist with light housekeeping rather than assist with his ADL’s. For RRNHV#1, there were no instruction as to what the hospice aide’s responsibility was regarding the patient’s dressing (i.e. notifying the nurse if it was soiled) or whether the patient’s oxygen could be removed for the patient’s bath if it was on at the time of the visit. Findings were verified by the Director of Patient Care Services.”

    Rule L0625. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))

    The inspectors’ words, 115 words

    “Observed in Patient Home. In 1 of 3 home visits conducted, it was noted by the nurse surveyor that for RRHV#1 the hospice aide did not provide care according to the hospice aide plan of care. During the home visit, the patient, and the hospice aide both stated that the hospice aide applied lotion to the patient’s skin after her shower. There was not any instruction for skin care on the hospice aide plan of care. Additionally, the hospice aide assisted the patient with washing her hair and back and that was not noted on the care plan. Findings were verified by the Director of Patient Care Services who was present on the home visit.”

    Rule L0626. Standard-level.

  • Content (42 CFR 418.104(a)(7))

    “Observed in Patient Home. In 1 of 3 home visits conducted, it was noted by the surveyor that the medication profile was inaccurate. During RRHV#1, the patient showed off her organized medication drawer in her bedroom. At that time, it was noted that she had a bottle of MiraLAX that was not on the medication profile. The patient stated that she takes it for constipation when needed. Finding was validated by the Director of Patient Care Services who was present during the visit.

”

    Rule L0678. Standard-level.

  • Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))

    “Observed in Patient Home. In 3 of 3 home visits conducted, it was noted by the nurse surveyor that the patient’s admission packet did not include an individualized emergency plan or information regarding the development of one. Finding was further validated during RRHV#1, RRHV#2, and RRHV#3 upon review of the packet in the home. Finding was validated by the Director of Patient Care Services who was present during the home visits and in discussion with the Compliance Director.

”

    Rule L0702. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Mar 1, 2024Initial inspection by The Joint Commission10 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jan 29, 2021.
  • 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.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 84% at home, 13% in assisted living, 3% in a nursing facility.
Source:

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

Who owns it?

  • 6 owners or officers are people: Meagan De Guzman (managing employee (on the payroll), 100%); Larry C Hughes (managing employee (under contract), 100%); Ricky Emmanuel Del Rosario (owns 5% or more directly, 100%); Ricky Emmanuel Del Rosario (corporate officer, 100%); Ricky Emmanuel Del Rosario (corporate director, 100%); Ricky Emmanuel Del Rosario (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.”
  • In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
  • 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 125 hospices CMS’s data show serving patients in ZIP code 92507, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 10.
Source:

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

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

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 Nov 5, 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 28, 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

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

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