Shield Hospice
A hospice in San Diego, California 92126
7940 Silverton Avenue Suite 203, San Diego, California 92126. (858) 433-7128.
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.
- 5 deficiencies cited in the last three years
- Not rated family caregiver rating
- Not available 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?
5 deficiencies cited in the last three years
The middle of the 77 hospices serving ZIP code 92126 had 8.
The last inspection on record was on Nov 19, 2025: 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
5 deficiencies in 1 month of the last 36. Last cited Nov 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Nov 19, 2025: initial inspection by the Accreditation Commission for Health Care5 deficiencies
-
Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 7 of 15 (Patients # 1, 4, 8, 9, 11, 12, 13) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patients # 1, 4, 8, 9, 11, 12, 13: The patients’ medical records did not contain evidence that during the comprehensive assessment the imminence of death was taken into consideration.”
-
Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 250 words
“Upon patient record review, 4 of 15 (Patients # 3, 4, 11, 14) 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 patient had orders dated 9/3/23 for an aide 2 PRN visits that did not contain a scope and on 8/21/23 MSW as needed with no frequency or scope. There was no indication of the quantity of visits. Patient # 4: The patient had orders dated 7/14/23 for an aide 2 PRN, MSW 1 PRN, SC 1 PRN. None of the orders contained a scope. There was no indication of the quantity of visits. Patent # 11: The patient had orders dated 11/2/24 for an MSW 1 PRN and on 10/30/24 an order for a nurse 2 PRN. Neither order contained a scope. There was no indication of the quantity of visits. Patient # 14: The patient had orders dated 4/3/25 for an MSW, SC as needed and a nurse the PRN. None of the orders contained a scope. There was no indication of the quantity of visits.”
-
Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 2 of 15 (Patients # 7, 9) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient # 7: The patient’s documentation of the 3/24/23 IDG meeting did not contain the MSW’s signature demonstrating participation. Patient # 9: The patient’s documentation of the 2/10/23 IDG meeting did not contain the MSW’s signature demonstrating participation.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 407 words
“Upon patient record review, 14 of 15 (Patient # 1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patients # 1, 14: The most current aide plan of care did not contain frequencies for the tasks of, a) turn and reposition and b) change patient linens. Patients # 2, 5, 11: The most current aide plan of care did not contain frequencies for the tasks of, a) turn and reposition, b) record bowel movement and c) change linens. Patient # 4: The most current aide plan of care did not contain frequencies for the task of record bowel movements. Patient # 6, 15: The most current aide plan of care did not contain frequencies for the tasks of, a) turn and reposition, b) record bowel movement, c) change linens, d) empty urine collection bag and e) measure urine output. Patients # 7, 8: The most current aide plan of care did not contain frequencies for the tasks of, a) feeding assistance, b) record bowel movement and c) change linens. Patient # 9: The most current aide plan of care did not contain frequencies for the tasks of, a) turn and reposition, b) record bowel movement, c) change linens and d) assist with medications per RN’s instructions. Patients # 10, 12: The most current aide plan of care did not contain frequencies for the tasks of, a) turn and reposition, b) record bowel movement, c) change linens, d) assist with medications per RN’s instructions and e) encourage fluids if not contraindicated. Patient # 13: The most current aide plan of care did not contain frequencies for the tasks of, a) turn and reposition, b) record bowel movement, c) change linens, d) feeding assistance and e) aspiration precautions.”
-
Supervision of hospice aides (42 CFR 418.76(h)(2))
“Upon personnel record review, 1 of 11 (Personnel # 8) did not have evidence in the hospice aide personnel file that a registered nurse made an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care. Personnel # 8: The aide’s employee file did not contain evidence that a registered nurse made an annual on-site visit at the patient’s residence to observe and assess the aide while performing care with the aide present.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 19, 2025 | Initial inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 8, 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 26% at home, 74% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 9 owners or officers are people: Rogelio Luciano Pineda (owns 5% or more directly, 50%); Rogelio Luciano Pineda (corporate officer, 50%); Rogelio Luciano Pineda (corporate director, 50%); Rogelio Luciano Pineda (managing employee (on the payroll), 50%); Maluisa Magno Pineda (owns 5% or more directly, 50%); Maluisa Magno Pineda (corporate officer, 50%); Maluisa Magno Pineda (corporate director, 50%); Maluisa Magno Pineda (managing employee (on the payroll), 50%); Frederick Jenkin (managing employee (under contract), 50%).
- 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 gives no Hospice Care Index for this hospice.
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 77 hospices CMS’s data show serving patients in ZIP code 92126, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 5.
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 |
|---|---|
| Advantage Health Systems | 10 |
| Shield Hospice This hospice | 5 |
| Kaiser Foundation Hospital San Diego Hospice | 7 |
| Vitas Healthcare Corporation of California | 3 |
| Sharp Hospicecare | 12 |
| Gentiva | 21 |
| Lightbridge Hospice | 11 |
| Avalon Hospice & Palliative Care | 6 |
| Silverado Hospice San Diego | 6 |
| Accentcare Hospice & Palliative Care of California | 6 |
| Apreva Hospice | 10 |
| Interim Healthcare San Diego Hospice | Not given |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.