Hearth Record

Anchor Health

A hospice in Petaluma, California 94954

1435 N. Mcdowell Blvd., Suite 210, Petaluma, California 94954. (415) 598-0944.

CMS’s own record, on Care Compare

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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.

The last 24 months 2 deficiencies in 1 month of the last 36. Last cited Dec 2023. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
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?

2 deficiencies cited in the last three years

The middle of the 10 hospices serving ZIP code 94954 had 5.

The last inspection on record was on Apr 3, 2024: a complaint inspection by the state.

Source:

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

2 deficiencies in 1 month of the last 36. Last cited Dec 2023. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Dec 8, 2023: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    The inspectors’ words, 270 words

    “It is required that hospice aides are supervised by a registered nurse who makes an on-site visit to the patient’s home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide, ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. The hospice aide does not need to be present. This standard was not met as evidenced by clinical record review and interview. In 2 of 16 (12%) clinical records reviewed of patients who received hospice aide services revealed the agency did not ensure that hospice aide supervisory visits were conducted by a Registered Nurse no less frequently than every 14 days to evaluate the services provided by the hospice aide. Clinical Record 4: The patient’s date of election was 12/25/2022. A physician’s order dated 7/30/2023 ordered hospice aide services “2wk7, 1wk1.” A physician’s order dated 8/6/2023 ordered hospice aide services “2wk1, 3wk5, 2wk1.” A physician’s order dated 9/3/2023 ordered “2wk1, 3wk5, 2wk1.” The clinical record contained documentation of Hospice Aide visits as ordered between 8/1/2023-12/7/2023. There was no documented evidence of a hospice aide supervisory visit being conducted between 8/1/2023-12/7/2023. Clinical Record 7: The patient’s date of election was 7/24/2023. A physician’s order dated 10/22/2023 ordered hospice aide services “2wk13.” The clinical record contained documentation of Hospice Aide visits as ordered between 10/22/2023-12/7/2023. There was no documented evidence of a hospice aide supervisory visit being conducted between 10/22/2023-12/7/2023. During a joint record review and interview on 12/8/2023, the Director of Patient Care Services agreed there was no documented evidence that the supervisory visits were completed.”

    Rule L0629. Standard-level.

  • Content (42 CFR 418.104(a)(5))

    The inspectors’ words, 183 words

    “It is required that the hospice medical director or physician-designee provides written and signed recertification of the terminal illness to meet the hospice care benefit requirement. Recertification for the hospice care benefit is informed by the medical director or physician designee’s review of the patient’s clinical information. Recertification is completed no later than two (2) calendar days after the first day of each benefit period, and no more than fifteen (15) days before the next benefit period begins. This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed, revealed that the agency did not ensure the physician provided written and signed certification of the terminal illness. Clinical Record 9: The patient’s date of election was 6/19/2023. The CTI on 10/13/2023 did not include a physician’s narrative or signature. There was no documented evidence that a recertification was completed for benefit period 5 effective 10/17/2023 to 12/15/2023. During a joint record review and interview on 12/8/2023, the Director of Patient Care Services agreed there was no documented evidence that the recertification was completed.”

    Rule L0676. Standard-level.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Apr 3, 2024Complaint inspection by the stateNo deficiencies cited
Dec 8, 2023Reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Feb 14, 2021.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 18.3 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 92.2% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 30% at home, 59% in assisted living, 11% in a nursing facility, 1% in a skilled nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day18.3 min
Skilled nursing minutes at weekends6.6%
Visits near death92.2% of patients who died

Who owns it?

  • 6 owners or officers are people: Sol Majer (owns 5% or more directly, 50%); Sol Majer (runs it (operational or managerial control), 50%); Cristin Darling (owns 5% or more directly, 50%); Cristin Darling (runs it (operational or managerial control), 50%); Alexandre Demoraes (managing employee (under contract)); Cristin Darling (managing employee (on the payroll)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 99.77% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 49.5% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 53 of 5
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 threshold9 of 10

How does it compare nearby?

  • Of the 10 hospices CMS’s data show serving patients in ZIP code 94954, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 2.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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