Calstro Hospice Los Angeles
A hospice in Alhambra, California 91801
430 S Garfield Ave Suite 300, Alhambra, California 91801. (818) 697-6374.
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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.
- 3 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?
3 deficiencies cited in the last three years
The middle of the 146 hospices serving ZIP code 91801 had 6.
The last inspection on record was on Nov 29, 2023: 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.
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.
Nov 29, 2023: reaccreditation inspection by the Accreditation Commission for Health Care3 deficiencies
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Core services (42 CFR 418.64)
“Upon personnel record review, 1 of 15 (Personnel #12) did not have evidence that all core services were provided directly by hospice personnel. There was no evidence of a W4 form for this personnel’s record as an employee. This evidence was presented on Day 2.”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 1 of 15 (Personnel #7) did not have evidence that a skills competency assessment, specific to this discipline had been conducted initially during orientation. There was no skills competency assessment evidence it was performed upon hire.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Upon client record review, 1 of 19 (Patient #16) did not have evidence that when the patient revoked the election of hospice care and was discharged from hospice on 3-23-23; in accordance with §418.26, the hospice forwarded to the patient’s attending physician: • A copy of the hospice discharge summary • The patient’s clinical record, if requested”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 29, 2023 | Reaccreditation inspection by the Accreditation Commission for Health Care | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 1, 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): 15.1 nurse care minutes per routine home care day, 6.3% of skilled nursing minutes at weekends and a visit near death for 91.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 52% at home, 35% in assisted living, 13% 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 | 15.1 min |
| Skilled nursing minutes at weekends | 6.3% |
| Visits near death | 91.4% of patients who died |
Who owns it?
- 18 owners or officers are people: Jose L Escobar (managing employee (on the payroll), 50%); Oscar Ivan Caldera (owns 5% or more directly, 36.25%); Oscar Ivan Caldera (corporate officer, 36.25%); Oscar Ivan Caldera (corporate director, 36.25%); Alex Castro (owns 5% or more directly, 36.25%); Alex Castro (corporate officer, 36.25%); Alex Castro (corporate director, 36.25%); Alex Castro (runs it (operational or managerial control), 36.25%); Sunil Hathiramani (managing employee (under contract), 27.5%); Sunil Hathiramani (owns 5% or more directly, 27.5%); Sunil Hathiramani (corporate officer, 27.5%); Sunil Hathiramani (corporate director, 27.5%); Sunil Hathiramani (managing employee (on the payroll), 27.5%); Sunil Hathiramani (runs it (operational or managerial control), 27.5%); Gina Lares (managing employee (on the payroll), 25%); Robert A. Deville (managing employee (on the payroll), 10%); Marina E Manvelyan (managing employee (under contract), 10%); Amarish Pradhan (managing employee (under contract), 5%).
- 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): 83% 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).
- 86.18% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 12.4% 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 146 hospices CMS’s data show serving patients in ZIP code 91801, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 3.
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 |
|---|---|
| Allied Hospice | 4 |
| Calstro Hospice Los Angeles This hospice | 3 |
| Kaiser Foundation Hospital Hospice Program | 3 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Kaiser Foundation Hospital Los Angeles - Hospice | 3 |
| Hospice of Presbyterian | 8 |
| Vitas Healthcare Corp | 18 |
| Torrance Memorial Hospice | 4 |
| Mission Hospice | 15 |
| All Care Hospice | 9 |
| Roze Room Hospice of the Valley | 2 |
| Silverado Hospice Inc. | 16 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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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.