Atrium Hospice LLC
A hospice in Brentwood, California 94513
144 Continente Ave, Suite 130, Brentwood, California 94513. (925) 219-2250.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 45 hospices serving ZIP code 94513 had 7.
The last inspection on record was on Feb 29, 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
8 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 29, 2024: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
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Rights of the patient (42 CFR 418.52(c)(4))
“Upon patient record review, 11 of 14 (Patient #1, 2, 3, 4, 5, 8, 9, 10, 11, 13, 14) did not have evidence that the patient chooses a health care provider, including an attending physician. Patients 1, 2, 3, 4, 5, 8, 9, 10, 11, 13, 14. Neither box for “I do not wish to choose...” or “My choice for my attending physician is...” is checked. Medical Director’s name is typed in.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 110 words
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and 8related conditions, including medications and treatments. Patient #3: Patient admitted 1/20/24 with Foley Catheter in place, with initial physician order for Foley catheter to gravity. Change Foley catheter monthly and as needed (not specific to circumstance of change. No size/balloon specified). Initial order for Peg tube site care: cleanse with normal saline. Pat dry. Cover with split gauze dressing. may secure with tape. Change 2-3 x a week and as needed. (circumstances not specified). Orders clarified/corrected during survey.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 14 (Patient #1) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #1: SOC 1/5/24. It is documented by RN and SC that patient declined SC services. However the IDG POC has frequency as 1/month and 1 prn and has not been updated to reflect patient choice.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 148 words
“Upon client record review, 2 of 14 (Patient #3, 10) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3: 1/20/24 MD order forwound care to right inner thigh wound: Clean with normal saline or soap and water. Pat dry. Cover with foam dressing. Change 2-3x a week and as needed if loose, wet or soiled. May discontinue when healed. However, 1/30/24 note by SN documented cleaned thigh wound with NS and applied Xeroform and Mepilex. 2/2/24 SN note documented Wound care to right thigh cleansing the area with NS and applying MediHoney over the wound, followed by a Xeroform dressing ...covered with bordered foam tape so did not follow plan of care. Patient #10: 9/10/23 MD order for Vol 2x/month. There were (3) visits Sept (11, 18, 20th) and Oct. (2, 16, 28th)”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 128 words
“Upon patient record review 2 of 14 (Patient #2, 10) 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: Admitted 1/20/24 and on 1/26/24 (Friday) there is documented communication note that HA unable to make visit r/t emergency. Son was informed. Documentation not clear if replacement was offered/declined. According to Policy 4-101.1 Missed Visits, the agency should have offered replacement. Patient #10: Admitted 7/21/23. 2/20/24 (Tues) HA out sick. Not clear if offered/declined replacement. According to Policy 4-101.1 Missed Visits, the agency should have offered replacement.”
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Recertification of the terminal illness (42 CFR 418.102(c))
The inspectors’ words, 133 words
“Upon patient record review, 1 of 14 (Patient #10) did not have evidence that before the recertification period for each patient, the medical director or physician designee must review the patient’s clinical information and provide written documentation that it is anticipated that the patient’s life expectancy is 6 months or less. Patient #10: SOC 7/21/23 in Benefit Period #4. Patient’s hospice diagnosis identified as Senile Degeneration of Brain (G31.1) in Initial and subsequent IDG POCs and throughout the medical record. However, in CTIs for Benefit Period #4 (initial) and #5 (recertification), physician documented Parkinson’s Disease (G20) as primary dx and also identified Parkinson’s as admitting diagnosis in physician narrative and Face to Face documentation. Parkinson’s is not listed in secondary diagnoses or co-morbidities, although during interview, staff report patient has history of Parkinson’s.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 11 of 14 (Patient #1, 2, 3, 4, 5, 8, 9, 10, 11,13, 14 ) • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patients 1, 2, 3, 4, 5, 8, 9, 10, 11, 13, 14. Neither box for “I do not wish to choose...” or “My choice for my attending physician is...” is checked. Medical Director’s name is typed in.”
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Hospice plan of care (42 CFR 418.112(d)(1))
The inspectors’ words, 153 words
“Upon client record review, 1 of 14 (Patient #8) did not have evidence that the hospice plan of care identifies the care and services that are needed and specifically identify which provider (nursing facility or hospice) is responsible for performing the respective functions that have been agreed upon and included in the hospice plan of care. Patient #8: SOC 9/26/23. Patient has GT requiring site care, left arm wounds and sacral and rt buttock wounds. She also has fungal rash. At start of survey there were multiple treatment orders that had been changed but not discontinued, risking misinterpretation/confusion for current treatment. (Example 11/01/23 order for skin tears left arm and 2/24/24 wound order, but the 11/1/23 order had not been discontinued). RN reviewed and updated orders to clarify current treatment. The patient is SNF resident and accountability for wound care was not specified. Education provided and but this was also updated during survey.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 29, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 12, 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): 16.8 nurse care minutes per routine home care day, 14.7% of skilled nursing minutes at weekends and a visit near death for 93.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 58% at home, 27% in assisted living, 16% 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 | 16.8 min |
| Skilled nursing minutes at weekends | 14.7% |
| Visits near death | 93.8% of patients who died |
Who owns it?
- 14 owners or officers are people: Charlot Echavia (managing employee (on the payroll), 50%); Febe Kopiko (managing employee (on the payroll), 50%); Maria Dulce A Niduaza (corporate director, 50%); Maria Dulce A Niduaza (runs it (operational or managerial control), 50%); Maria Dulce A Niduaza (owns 5% or more directly, 24%); Charlot Echavia (owns 5% or more directly, 19%); Marilynne Depaynos (owns 5% or more directly, 19%); Febe Kopiko (owns 5% or more directly, 19%); Gina Ereno (owns 5% or more directly, 19%); Charlot Echavia (corporate director, 15%); Febe Kopiko (corporate director, 15%); Marilynne Depaynos (corporate director, 10%); Gina Ereno (corporate director, 10%); David H Lee (managing employee (under contract)).
- 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.”
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 87.69% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 14.5% 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 45 hospices CMS’s data show serving patients in ZIP code 94513, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 8.
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 |
|---|---|
| Amavi Home Health and Hospice Care Services, Inc. | 7 |
| Caring Heart Hospice Inc. | 9 |
| Atrium Hospice LLC This hospice | 8 |
| Grace and Glory Hospice, Inc. | 7 |
| Jmj Hospice Care, Inc. | 3 |
| Hospice of the East Bay | 7 |
| Kaiser Foundation Hospital Hospice - Martinez | 2 |
| Sutter Care at Home | 3 |
| Hope Hospice | 5 |
| Adventist Health Home Care | 5 |
| Vitas Healthcare Corporation of California | 8 |
| Prohealth Home Care, Inc. | 2 |
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.