Adya Hospice & Palliative Care, LLC
A hospice in Suisun City, California 94585
700 Main Street, Suite 210, Suisun City, California 94585. (707) 200-2989.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
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.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 29 hospices serving ZIP code 94585 had 7.
The last inspection on record was on Feb 21, 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 21, 2024: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
-
Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 2 of 14 (Patient #6,11) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #6, Psychosocial assessment completed on 12/26/23, patient admitted on 12/20/23. Patient #11, Psychosocial assessment completed on 11/24/23, patient admitted on 11/18/23”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 113 words
“Upon patient record review, 2 of 14 (Patient #2,7) 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 #2, No evidence of initial care plan for MSW or SC was completed for IDG on 2/2/24. MSW visit made 1/25/24, SC visit made on 1/29/24. Patient #7, No evidence of wound care individualized on care plan.”
-
Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 14 (Patient #5) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #5, Shower chair was identified on nursing assessment as patient has. Shower chair was not included in DME on POC.”
-
Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 683 words
“Upon client record review, 13 of 14 (Patient #1,2,3,4,5,6,7,8,9,10,11,13,14) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1, SN visit on 2/1/24, no evidence of order for SN visit. MSW visit 2/1/24, no evidence orders for MSW. SC visit on 1/31/24, no evidence for SC order. Orders for HA 1xw, MSW eval, SC 1x/m 2PRN, SN 2x/w 3PRN, obtained on 2/2/24 through initial IDG. Patient #2, SN visit on 1/26/24, 1/27/24, 1/29/24, 1/31/24, no evidence of order for SN visits. MSW visit 1/25/24, no evidence of order for MSW visit, SC visit on 1/29/24, no evidence of order for SC. Orders for HA 2x/w, MSW 1x/m 2PRN, SC 1x/m 2PRN, SN 2x/w 3PRN, obtained on 2/2/24 through initial IDG. Patient #3, SN visits 1/9/23, 1/11/23, 1/15/23, no evidence of order for SN visits. MSW visits 1/11/24, 1/26/24, no evidence of order for MSW. SC visits on 1/12/24, no evidence of order for SC. Orders obtained for HA 2x/w, MSW eval, SC eval, SN 2x/w 3PRN on 1/19/24 through initial IDG. Patient #4, SC completed telephone visit on 1/19/24, no evidence of telephone order for visit. Patient #5, SN visit on 1/17/24, 1/18/24, no evidence of SN order for visits. MSW visit 1/18/24, no evidence of order for MSW visit. Orders obtained for HA 1x/w, MSW eval, SC 1x/m 2PRN, SN 2x/w 3PRN on 1/19/24 through initial IDG. Patient #6, SN order on 12/22/23 for 3x/week, no evidence of visits until 1/3/24, 1/5/24. SC order on 12/22/23 as declined, visit made on 12/22/23 without order for visit. Patient #7, SN visit 12/13/23, 12/15/23, 12/18/23, no evidence of SN order for visits. MSW visit on 12/12/23, no evidence of order for MSW visit. SC visit on 12/15/23, no evidence of SC order for visit. Orders obtained on 12/22/23 for MSW 1x/m 2PRN, SC as needed, SN 2x/w 3PRN through initial IDG. Patient #8, SN visit on 9/3/23, 9/7/23, 9/11/23, 9/14/23, no evidence of SN order for visits, MSW visit on 9/5/23, no evidence of order for MSW visit, SC visit on 9/5/23, no evidence of SC order for visit. Orders obtained on 9/15/23 for HA 2x/w, MSW 1x/m 2PRN, SC 1x/m 2PRN, SN 2x/w 3 PRN through initial IDG. Patient #9, SN visit on 6/20/23, no evidence of order for SN visit, MSW visit made 6/20/23, no evidence of order for MSW visit. SC visit made 6/20/23, no evidence of order for SC visit. Orders obtained on 6/23/23 for HA 2x/w, MSW 1x/m 2 PRN, SC 1x/m 2PRN, SN 2x/w 3PRN, through initial IDG. SC missed visit for the month of July and made 2 visit in Aug on 8/2/23, 8/9/23. Patient #10, SN visit on 2/22/23, 2/24/23, 2/27/23, 3/2/23, no evidence of SN order. MSW visit made 2/24/23, no evidence of MSW order. SC visit on 2/24/23, 2/28/23, no evidence of SN order. Orders obtained on 3/3/23 for HA 2x/w, MSW 1x/m 2 PRN, SC 1x/m 2PRN, SN 2x/w 3 PRN through initial IDG. SC made tele visit on 2/24/23 without order for telephone visit. Patient #11, SN visit on 11/18/23, 11/20/23, 11/22/23, no evidence of SN order, SC visit on 11/22/23, no order for SC visit. Orders obtained on 11/24/23 for HA 2x/w, MSW eval, SC as needed, SN 3x/w 3 PRN, Vol 2x/m through initial IDG. Vol made no visits per order. MSW made visits on 11/24/23 and 11/25/23. Patient #13, SN visits on 8/28/23, 8/31/23, no evidence of order for SN visits. MSW visit on 8/29/23, no evidence of order for MSW, SC visit on 8/29/23, no evidence of order for SC visit. Orders obtained on 9/1/23 for MSW 1x/m 2PRN, SC 1x/m 2PRN, SN 2x/w 3PRN through initial IDG. Patient #14, SN visit on 3/29/23, no evidence of order for SN, MSW visit on 3/29/23 no evidence of order for MSW. Orders obtained on 3/31/23 for HA 2x/w, MSW 1x/2w 2PRN, SC 1x then PRN, SN 2x/w 3PRN through initial IDG. SC visit on 4/28/23 was telephone visit. No evidence of order for telephone visit.”
-
Prevention (42 CFR 418.60(a))
“Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #2, LPN placed b/p, thermometer, stethoscope on clean area. LPN used thermometer and placed back on clean area without cleaning thermometer.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 261 words
“Upon patient record review 10 of 14 (Patient #1,2,3,5,7,8,9,10,11,14) 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, Order on 2/2/24 for HA 1x/week then 2/16/24 orders for HA 3x/week. Patient was seen 2x/w for the 2nd and 3rd week. Aide care plan documents shower chair for type of bath. Aide gave bed bath. No evidence of discussion with RN. Patient #2, Visits on 1/26/24, 1/30/24, 2/1/24, 2/6/24, Order for HA were not obtained until 2/2/24 for 2x/w. Patient #3, Visits on 1/9/24, 1/12/24, 1/16/24. Order for HA were not obtained until 1/19/24. Patient #5, Order obtained on 1/19/24 for HA 1x/w then on 2/2/24 for 2x/week. Patient seen 2x/week prior to 2/2/24. Patient #7, Visit on 12/27/23, No order for HA visit. Patient #8, Visit on 9/8/23, 9/11/23, Order for HA were not obtained until 9/15/23. Aide care plan documents brush teeth. Aide did not complete on visit of 9/15/23. Patient #9, Visit on 6/20/23, Orders for HA were not obtained until 6/23/23. Aide care plan documents diet: mechanical soft. Aide did not document on visit of 7/14/23. Patient #10, Visit on 2/28/23, 3/2/23, Orders for HA were not obtained until 3/3/23. Patient #11, Visit on 11/20/23, Orders for HA were not obtained until 11/24/23. Patient #14, Visit on 3/29/23, Orders for HA were not obtained until 3/31/23.”
-
Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. Agency use of volunteers for 2023 was 2.54%”
-
Hospice plan of care (42 CFR 418.112(d))
“Upon client record review, 2 of 14 (Patient #8,10) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. Patient #8, No evidence of care plan for alteration in skin. Patient has wound care since admission of 9/1/23. Patient #8,10, No evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 21, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 5, 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): 56.3 nurse care minutes per routine home care day, 2.3% of skilled nursing minutes at weekends and a visit near death for 90.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 68% at home, 12% in assisted living, 20% 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 | 56.3 min |
| Skilled nursing minutes at weekends | 2.3% |
| Visits near death | 90.9% of patients who died |
Who owns it?
- 11 owners or officers are people: Leah C Mercado (owns 5% or more directly, 30%); Leah C Mercado (managing employee (on the payroll), 20%); Cristina Mallari (owns 5% or more directly, 20%); Cristina Mallari (managing employee (on the payroll), 20%); Rogie Mallari (owns 5% or more directly, 20%); Rogie Mallari (managing employee (on the payroll), 20%); Robyn J Pennington (managing employee (on the payroll), 20%); Vincent Bryan V Reyes (managing employee (on the payroll), 20%); Robyn J Pennington (owns 5% or more directly, 15%); Vincent Bryan V Reyes (owns 5% or more directly, 15%); Hermenegildo Garcia Angeles (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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.6% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 35.9% 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 29 hospices CMS’s data show serving patients in ZIP code 94585, 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 |
|---|---|
| Adya Hospice & Palliative Care, LLC This hospice | 8 |
| Sutter Care at Home | 3 |
| Kaiser Foundation Hospital Hospice - Vallejo | Not given |
| Yolo Hospice | 12 |
| Northbay Hospice & Bereavement | Not given |
| Vitas Healthcare Corporation of California | 1 |
| Prohealth Home Care, Inc. | 2 |
| Ace Home Health Care & Hospice, Inc. | 5 |
| American Hospice and Home Health Care Service Inc. | 3 |
| Hospice By Blize Healthcare | 7 |
| Suncrest Hospice | 4 |
| Continuum Care Hospice LLC | 7 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.