Arias Hospice Care Inc.
A hospice in Roseville, California 95661
2250 Douglas Blvd, Suite 135, Roseville, California 95661. (916) 759-6421.
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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
- Not rated family caregiver rating
- 10of 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?
4 deficiencies cited in the last three years
The middle of the 42 hospices serving ZIP code 95661 had 6.
The last inspection on record was on Feb 14, 2024: 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 Feb 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.
Feb 14, 2024: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 223 words
“Upon patient record review, 3 of 14 (Patient 10, 11 & 12 ) 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 10 medication profile includes “Acetaminophen 650 mg rectal supp 1 supp every 4 hours as needed for temp >101.5 and Tylenol 325 mg tab 2 tabs by mouth every 6 hours as needed for pain” with no daily dosage limit. Patient 11 medication profile includes “Acetaminophen 500 mg cap 1 cap orally every 6 hours as needed for mild pain, Acetaminophen 650 mg rectal supp 1 supp every 4 hours as needed for temp >101.5 and Norco 5mg-325 mg tab 1 tab orally every 6 hours pain” with no daily dosage limit. Patient 12 medication profile includes “Acetaminophen 500 mg cap 2 caps orally every 6 hours as needed for mild pain, Acetaminophen 650 mg rectal supp 1 supp every 4 hours as needed for temp >101.5 and Norco 5mg-325 mg tab 1 tab orally every 8 hours as needed for pain” with no daily dosage limit.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 196 words
“Upon patient record review, 10 of 14 (Patient 1, 2, 3, 6, 7, 8, 9, 10, 12 & 14) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patients 1, 2, 3, 6, 8, 9, 10 & 14 with no evidence of a detailed scope and frequency of services necessary to meet the specific patient and family needs. Plan of care includes “MSW 1 time then prn” with no specific number of prn visits. Patients 1, 2, 3, 7, 8, 9 & 12 with no evidence of a detailed scope and frequency of services necessary to meet the specific patient and family needs. Plan of care includes “SC 1 time then prn” with no specific number of prn visits.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 183 words
“Upon patient record review, 3 of 14 (Patient 10,11,12) 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 10 POC includes “Acetaminophen 650 mg rectal supp 1 supp every 4 hours as needed for temp >101.5 and Tylenol 325 mg tab 2 tabs by mouth every 6 hours as needed for pain” with no daily dosage limit. Patient 11 POC includes “Acetaminophen 500 mg cap 1 cap orally every 6 hours as needed for mild pain, Acetaminophen 650 mg rectal supp 1 supp every 4 hours as needed for temp >101.5 and Norco 5mg-325 mg tab 1 tab orally every 6 hours pain” with no daily dosage limit. Patient 12 POC includes “Acetaminophen 500 mg cap 2 caps orally every 6 hours as needed for mild pain, Acetaminophen 650 mg rectal supp 1 supp every 4 hours as needed for temp >101.5 and Norco 5mg-325 mg tab 1 tab orally every 8 hours as needed for pain” with no daily dosage limit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 109 words
“Upon patient record review 3 of 14 (Patient 2, 11 & 13) 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 • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 2 POC with CHHA 2 X week; week of 12/10/23-12/16/23 no evidence of visits completed. Patient 11 POC with CHHA 2 X week; week of 12/31/23-01/06/24 no evidence of visits completed. Patient 13 POC with CHHA 2 x week; week of 10/29/23-11/4/23 no evidence of visits completed.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 14, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 1, 2021.
- 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): 15.2 nurse care minutes per routine home care day, 5.7% of skilled nursing minutes at weekends and a visit near death for 92.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 66% at home, 33% in assisted living, 1% 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 | 15.2 min |
| Skilled nursing minutes at weekends | 5.7% |
| Visits near death | 92.8% of patients who died |
Who owns it?
- 6 owners or officers are people: Irina Riley (owns 5% or more directly, 55%); Aliaksei Fliaha (owns 5% or more directly, 45%); Marina Gerez (managing employee (on the payroll)); Edward F Gunz (managing employee (under contract)); Anant Kumar Lodhia (managing employee (under contract)); Irina Riley (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): 86% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.14% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 12.5% 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 | 10 of 10 |
How does it compare nearby?
- Of the 42 hospices CMS’s data show serving patients in ZIP code 95661, 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 |
|---|---|
| Sutter Care at Home | 2 |
| Bristol Hospice - Sacramento, LLC | 3 |
| Green Valley Hospice, Inc. | 12 |
| Arias Hospice Care Inc. This hospice | 4 |
| Pinnacle Hospice Care | 21 |
| Kaiser Foundation Hospital - Hospice | 3 |
| Uc Davis Hospice Program | Not given |
| Snowline Health | 7 |
| Mercy Hospice | 12 |
| Yolo Hospice | 12 |
| Hospice of the Foothills | 6 |
| Sutter Auburn Faith VNA & Hospice-Hospice | 14 |
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.