Liem Hospice
A hospice in Burbank, California 91505
2550 N. Hollywood Way Ste 502, Burbank, California 91505. (818) 538-5863.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 154 hospices serving ZIP code 91505 had 5.
The last inspection on record was on Apr 30, 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
6 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 30, 2026: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 226 words
“Observed in Record Review. In 3 of 10 patient records reviewed, the plan of care did not include measurable outcomes anticipated from implementing and coordinating the plan of care. For HV #1 the Plan of Care (POC) included a problem for Cardiovascular including edema to bilateral lower extremities with a goal: prevent discomfort due to increasing edema, hypotension -Achieve and maintain peripheral circulation for patient comfort. -patient/caregiver will verbalize/express understanding of medication /treatment orders and side effects and did not include measurable goals such as edema will decrease from 7-10 to 3-5. Also, for HV #2 the POC included a problem for pain with a goal: Patient/Family/Facility will verbalize understanding of pain management, when to take pain medications, nonpharmacological pain management, and when to call hospice and did not include measurable goals. Additionally, for HV #3 the surveyor noted that the POCincluded Psychosocial problem for Emotional Support and Socialization in the SNF with the goal: The daughter will express feelings and emotions related to possible discharge from hospice and have an increased ability to maintain relationships and positive coping in her life. The patient will experience increased socialization and comfort in the SNF. The goal did not include measurable outcomes for example, the patient will participate in social activities at the SNF 2-3 times per month. This was validated with the Director of Patient Care Services.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 119 words
“Observed in Patient Home. In 1 of 3 home visits conducted, the plan of care did not include treatments necessary to meet the patient’s needs. During the home visit for HV #2 the RN was observed to provide wound care to the lower left leg/shin which included cleansing with wound care cleaner, application of triple antibiotic ointment and covering with a foam dressing however in review of the medical record the surveyor noted that the physician order for the wound care had a stop date of 04/8/2026 and had not been renewed. in the medical record or on the plan of care until after the SNV on this date. This was validated with the Director of Patient Care Services.”
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Coordination of services (42 CFR 418.56(e)(4))
The inspectors’ words, 107 words
“Observed in Record Review. In 1 of 10 patient records reviewed, the organization had not collaborated in the care of the patient and coordinate their efforts to support the goals outlined in the plan of care. In review of the medical record for RR #1 the care plan included a frequency of social worker visits 1x month plus 1 prn visit beginning in the month of November however there was no evidence that a visit was made in the month of December, February and March and no documentation that the physician was notified of the missed visits. This was validated by the Director of Patient Care Services.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 1 of 3 home visits conducted, staff failed to perform hand hygiene at times required by standard precautions CDC guidelines and organizational policy no,9-009.1 Hand Hygiene as evidenced by the Hospice Aide failed to perform a glove change and perform hand hygiene after cleaning fecal material on the patient during a bed bath for HV #1. The Hospice Aide continued to provide care and complete the patient’s care with contaminated gloves. This was validated by the Director of Patient Care Services.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
“Observed in Patient Home. In 1 of 1 home visits conducted, with hospice aides, the hospice aide did not provide care in accordance with the plan of care. For HV #1 the HA Assignment included apply lotion and deodorant every visit and clean nails every visit which were not observed during the bed bath for HV #1 additionally, the hospice aide stated that she applies A&D ointment if the patient needs it which was not included on the HA Assignment. This was validated by the Director of Patient Care Services.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. Volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff. In review of the organization’s cost savings documents and in conversation with the Volunteer Coordinator and Director of Patient Care Services the surveyor noted the following cost savings; 2024 = 1.86% and 2025 3.74%.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 30, 2026 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 22, 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): 15.8 nurse care minutes per routine home care day, 14.2% of skilled nursing minutes at weekends and a visit near death for 96.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 47% at home, 39% in assisted living, 14% 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 | 15.8 min |
| Skilled nursing minutes at weekends | 14.2% |
| Visits near death | 96.2% of patients who died |
Who owns it?
- Vital Health Care Services Inc. owns 100% directly since Nov 30, 2021.
- 16 owners or officers are people: Leticia Aldaba (managing employee (on the payroll), 100%); Leticia Aldaba (owns 5% or more through other companies, 72%); Leticia Aldaba (corporate officer, 72%); Leticia Aldaba (corporate director, 72%); Leticia Aldaba (runs it (operational or managerial control), 72%); Raffi Barsam (owns 5% or more through other companies, 18%); Raffi Barsam (corporate officer, 18%); Raffi Barsam (corporate director, 18%); Raffi Barsam (runs it (operational or managerial control), 18%); Christopher V Tashjian (owns 5% or more through other companies, 10%); Christopher V Tashjian (corporate officer, 10%); Christopher V Tashjian (corporate director, 10%); Kayla Tafoya-Sablan (managing employee (on the payroll)); Pedram Shirzad (managing employee (under contract)); Eric I Feit (managing employee (under contract)); Adria Smith Loertscher (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Vital Health Care Services Inc. | Owns 5% or more directly | 100% | Nov 30, 2021 |
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 93% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.12% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 46.9% 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 154 hospices CMS’s data show serving patients in ZIP code 91505, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 6.
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 |
|---|---|
| Compassionate Hospice Care, Inc. | 4 |
| Americare Hospice, Inc. | Not given |
| Mother Theresa Hospice, Inc. | 21 |
| A & E Hospice Care, Inc. | Not given |
| Angel’s Hand Hospice Care, Inc. | 5 |
| Blue Pacific Hospice Care, Inc. | 0 |
| Illuminate Hospice Care, Inc. | 9 |
| On Time Hospice Care Inc. | Not given |
| First Choice Hospice Health Care Inc. | Not given |
| Liem Hospice This hospice | 6 |
| Ametrine Hospice | 8 |
| Regal Hospice and Palliative Care 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.