Pinnacle Hospice Care
A hospice in Roseville, California 95661
1504 Eureka Rd. Suite 250b, Roseville, California 95661. (916) 993-8731.
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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.
- 21 deficiencies cited in the last three years
- Not rated family caregiver rating
- 5of 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?
21 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 Aug 15, 2024: an initial 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
21 deficiencies in 1 month of the last 36. Last cited Aug 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.
Aug 15, 2024: initial inspection by the Accreditation Commission for Health Care21 deficiencies
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Notice of rights and responsibilities (42 CFR 418.52(a)(1))
“Upon observation, there was no evidence that during the initial assessment visit in advance of furnishing care, the hospice provided the patient and/or family with verbal (meaning spoken) and written notice of the Patient’s Rights and Responsibilities in a language and manner that the patient understands. Patient#2,#4,#10 - There was no evidence in record that the Patient’s Rights and responsibilities was provided in writing to the patient in a language (Spanish) the patient understands.”
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Notice of rights and responsibilities (42 CFR 418.52(a)(2))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence that the hospice informed and provided written information to the patient concerning its policies on advance directives, including a description of applicable state law. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Notice of rights and responsibilities (42 CFR 418.52(a)(3))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence that the hospice obtained the patient’s or representative’s signature confirming that they received a copy of the Patient’s Rights and Responsibilities. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(3))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence that if a state court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with state law may exercise the patient’s rights to the extent allowed by state law. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Rights of the patient (42 CFR 418.52(c)(4))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Rights of the patient (42 CFR 418.52(c)(5))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence of the appropriate documentation for release of confidential information. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Rights of the patient (42 CFR 418.52(c)(7))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence that the patient received information about the services covered under the hospice benefit. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Rights of the patient (42 CFR 418.52(c)(8))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence that the patient received information about the scope of services that the hospice will provide and specific limitations on those services. Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Content of comprehensive assessment (42 CFR 418.54(c))
The inspectors’ words, 175 words
“Upon patient record review 5 of 14 (Patient #1,#2,#3,#5,#6) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient#1: There is no evidence of an initial spiritual assessment being completed. Patient#2: Patient was admitted on 6/11/24. The record indicates psychosocial comprehensive assessment completed on 6/27/24. This is greater than 5 calendar days. There is no evidence of an initial spiritual assessment being completed. Patient#3: Patient was admitted on 6/11/24. The record indicates the psychosocial comprehensive assessment was completed on 6/20/24. The record also indicates the spiritual comprehensive assessment was completed on 6/17/24. Both assessments were completed more than 5 calendar days from election of benefit. Patient#5:There is no evidence of an initial spiritual assessment being completed. Patient#6:The record indicates election of benefit was on 5/7/24. The spiritual comprehensive assessment was completed on 5/13/24. This is more than 5 calendar days.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 99 words
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient#3: The election of benefit for this patient was 6/11/24. The record indicates the initial bereavement assessment was completed on 7/17/24.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 198 words
“Upon patient record review, 3 of 14 (Patient #4,#6,#7) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient#4: The record indicates patient has bladder and bowel incontinence. There was not evidence that the plan of care reflected patient problems goals or intervention related to urinary and bowel incontinence. Corrected on site. Patient#6:The record indicates the patient has incontinence, aphasia, diabetes, and cardiovascular diagnosis. There is not evidence that the plan of care reflected problems goals or interventions related to these diagnosis. Corrected on site. Patient#7: The record indicates the patient has a diagnosis of insulin dependent diabetes. According to the patient record the patient is actively prescribed Lispro, Lantus, and Glucagon. There is no evidence that the plan of care reflected problem goals or interventions related to this the diagnosis or the medications associated with the diagnosis. Corrected on site.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 183 words
“Upon patient record review, 2 of 14 (Patient #3,#4) 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. Patient#3: The record indicates the order for MSW visit frequency is 1 time per month. There was 1 scheduled visit document in July 2024 and also a PRN visit on 7/26/24. There is no evidence of PRN visit on the order. Corrected on site. Patient#4: The record indicates the order for MSW visit frequency is 1 time per month. There was 1 scheduled visit document in July 2024 and also a PRN visit on 7/26/24. There is no evidence of PRN visit on the order. Corrected on site.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 159 words
“Upon patient record review, 3 of 14 (Patient #1,#2,#3) 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: The record indicates on 7/31/24 RN assessment that patient was a full code and requested assistance from MSW in reviewing and filling out paperwork for DNR. There is no evidence of follow-up or assistance by MSW. Patient#2: The record indicates that on 6/11/24 the patient was continent of bowel and bladder. On 6/26 nurse documented patient experiencing incontinence of bowel and bladder. There is no evidence of plan of care problems goals or interventions being updated. Patient#3: The record indicates that on 6/28/24 the patient requested information on additional resources. The nurse advised she would notify the MSW who would assist with providing that information. There is no evidence of any follow-up or needs for information being addressed.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 116 words
“Upon client record review, 2 of 14 (Patient #5,#9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient#5:The record indicated the 5/10/24 order for nurse frequency at 2 times per week. The week of 7/1/24 there was documentation of 3 nurse visits occurring on 7/1,7/3, and 7/5. The week of 7/30/24 was documentation of 3 nurse visits occurring on 7/30, 8/1, and 8/2. Corrected on site. Patient#9: The record indicated the order for nurse frequency at 1 time per week and 3 PRN. The week of 7/14 there was documentation of 2 scheduled visits occurring on 7/16 and 7/17. Corrected on site.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 1 of 14 (Patient #1) 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 #1: The record indicates the order for aide visit frequency is 2 times per week. The week of 8/4/24, 3 aide visits were completed. Corrected on site.”
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Recruiting and retaining (42 CFR 418.78(c))
“Upon observation, there was no evidence the hospice documents marketing efforts or recruiting efforts to demonstrate viable and ongoing efforts to recruit and retain volunteers.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 14 (Patient #7) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #7: There is no evidence the consent is signed by a valid POA and there is a valid consent as POA paperwork was not located in patient chart. Patient record indicated that patient has a POA who did sign the consents.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 116 words
“Upon patient client record review, 3 of 14 (Patient #2,#3) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records Patient#2:The record indicates a discrepancy in the documentation. Documentation from 6/12/24 RN assessment states that patient signed her own consents. The consent forms were signed by the patient daughter. Patient#3: The record indicates the nurse documentation for visit on 6/12/24 states patient is a full code. The form scanned in with consent indicates patient is DNR.”
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Discharge or transfer of care (42 CFR 418.104(e))
“Upon client record review, 1 of 14 (Patient #12) did not have evidence that the hospice forwarded a summary and a copy of the patient record, if requested, to a facility when transferring the patient to that facility. Patient#12: There is no evidence that a transfer summary was forwarded, nurse documented “needs assistance” on visit note at time of transfer.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Upon client record review, 1 of 14 (Patient #11) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient’s attending physician: • A copy of the hospice discharge summary • The patient’s clinical record, if requested Patient#11: There is no evidence of a discharge summary being sent to physician.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon client record review, 2 of 14 (Patient #11) did not have evidence that the discharge summary includes all required information. Patient#11: There is no evidence of a discharge summary in patient record.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 15, 2024 | Initial inspection by the Accreditation Commission for Health Care | 21 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 24, 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): 10.6 nurse care minutes per routine home care day, 3.6% of skilled nursing minutes at weekends and a visit near death for 78.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 56% at home, 19% in assisted living, 25% 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 | 10.6 min |
| Skilled nursing minutes at weekends | 3.6% |
| Visits near death | 78.4% of patients who died |
Who owns it?
- 10 owners or officers are people: Abhishek Khare (managing employee (on the payroll), 100%); Abhishek Khare (runs it (operational or managerial control), 100%); Samay Attaie (corporate officer, 100%); Samay Attaie (managing employee (on the payroll), 100%); Samay Attaie (runs it (operational or managerial control), 100%); Samay Attaie (owns 5% or more directly, 55%); Samay Attaie (corporate director, 55%); Naeem Wahab (owns 5% or more directly, 45%); Naeem Wahab (corporate director, 45%); Tyrone E Snipes (managing employee (on the payroll), 0%).
- 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: 5 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 9.5% 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 | 5 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 21.
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. | 4 |
| Pinnacle Hospice Care This hospice | 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.