Maximum Palliative Care and Hospice, Inc.
A hospice in Lancaster, California 93534
44501 16th Street West, Suite 105, Lancaster, California 93534. (661) 495-2051.
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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.
- 17 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?
17 deficiencies cited in the last three years
The middle of the 207 hospices serving ZIP code 93534 had 5.
The last inspection on record was on Aug 27, 2026: a reaccreditation inspection by The Joint Commission.
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
17 deficiencies in 1 month of the last 36. Last cited Aug 2026. 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 27, 2026: reaccreditation inspection by The Joint Commission17 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
The inspectors’ words, 103 words
“Observed in Record Review. In 2 of 14 patient records reviewed, the organization had not involved the patient in making decisions about their care, treatment, or services. In the chart for RRHV#1, the patient’s primary caregiver requested the hospice addendum at the time of admission. There was no indication in the chart of the date that the addendum was provided. In the chart for RRNHV#5, there were multiple medications prescribed at admission noted to be non-covered including Pantoprozole, Aspirin, Certraline, however the addendum provided to the patient approximately 3 days post-admission stated there were no non-covered medications. This was discussed with the Administrator.”
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Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Record Review. In 1 of 14 patient records reviewed, all entries into the medical record were not accurately documented. In the chart for RRNHV#6, Aide supervisory visits were documented twice in the month that the survey was conducted. Aide services had been discontinued in the middle of the previous month. This was discussed with the Administrator.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 111 words
“Observed in Record Review. In 2 of 12 patient records reviewed, the plan of care (POC) did not include all treatments necessary to meet the patient’s needs. In the chart for RRNHV#6, there was a wound care order written in the month of the survey which was incomplete and did not include the frequency of the wound care to be provided. In the chart for RRNHV#8, the signed POC was unclear as it included an order which stated to flush the urinary catheter weekly with 60mg Gentamycin, yet the nursing intervention on the same signed POC stated to flush with 80mg Gentamycin 3 times weekly. This was discussed with the Administrator.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(1))
“Observed in Document Review. The written agreement for inpatient care did not include: That the hospice furnishes the inpatient provider with a copy of the patient’s plan of care and will specify the inpatient services to be provided. This was discussed with the Administrator.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(2))
“Observed in Document Review. The written agreement for inpatient care did not include: That the inpatient provider has policies that are consistent with those of the hospice and that it agrees to abide by the patient care protocols established by the hospice for its patients. This was discussed with the Administrator.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(3))
“Observed in Document Review. The written agreement for inpatient care did not include: That the record will include documentation of all inpatient services and events and that a copy of the discharge summary and, if requested, a copy of the record will be provided to the hospice. This was discussed with the Administrator.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(4))
“Observed in Document Review. The written agreement for inpatient care did not include: The party responsible for the implementation of the provisions of the agreement. This was discussed with the Administrator.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(5))
“Observed in Document Review. The written agreement for inpatient care did not include: That the hospice documents a description of the training provided along with the names of those providing the training. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(1))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: - The manner in which the SNF, NF, or ICF/IID and the hospice will communicate with each other and will document the communications to make sure the needs of the patients are met 24 hours a day. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(2)(i))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision that the SNF, NF, or ICF/IID notifies the hospice immediately when there is a significant change in the patient’s physical, mental, social, or emotional status. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(2)(ii))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision that the SNF, NF, or ICF/IID notifies the hospice immediately when clinical complications appear that suggest a need to alter the plan of care. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(2)(iii))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision that the SNF, NF, or ICF/IID notifies the hospice immediately when there is a need to transfer the patient (in this case the hospice makes arrangements for and remains responsible for any necessary care). This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(2)(iv))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision that the SNF, NF, or ICF/IID notifies the hospice immediately when the patient dies. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(3))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision stating the hospice assumes responsibility for determining the appropriate course of hospice care, including the decision to change the level of services provided. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(4))
The inspectors’ words, 91 words
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: An agreement that it is the responsibility of the SNF, NF, or ICF/IID to furnish 24-hour room and board and meet the personal care and nursing needs that would have been provided by the primary caregiver at home. The level of care is the same as that provided before the patient elected hospice care. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(7))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision that the hospice may use the SNF, NF, or ICF/IID nursing staff when permitted by state law and only to the extent that the hospice would routinely use the services of a hospice patient’s family in implementing the plan of care. This was discussed with the Administrator.”
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Written agreement (42 CFR 418.112(c)(8))
“Observed in Document Review. The written agreement for hospice care provided to residents of a Skilled Nursing facility, Nursing facility or Intermediate Care Facility did not include all required elements, including: A provision stating that the hospice will report all mistreatment, neglect, or verbal, mental, sexual, and physical abuse to the SNF, NF, or ICF/IID administrator within 24 hours of the hospice becoming aware of the alleged violation, including injuries of unknown source, and misappropriation of patient property by anyone unrelated to the hospice. This was discussed with the Administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 27, 2026 | Reaccreditation inspection by The Joint Commission | 17 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 9, 2020.
- 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): 10.3 nurse care minutes per routine home care day, 8.1% of skilled nursing minutes at weekends and a visit near death for 60.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 12% at home, 88% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.3 min |
| Skilled nursing minutes at weekends | 8.1% |
| Visits near death | 60.9% of patients who died |
Who owns it?
- 16 owners or officers are people: Vlad Nusinovich (owns 5% or more directly, 50%); Vlad Nusinovich (corporate officer, 50%); Vlad Nusinovich (corporate director, 50%); Vlad Nusinovich (managing employee (on the payroll), 50%); Anna Labutina (owns 5% or more directly, 50%); Anna Labutina (corporate officer, 50%); Anna Labutina (corporate director, 50%); Anna Labutina (managing employee (on the payroll), 50%); Stella Popova (managing employee (under contract), 0%); Stella Popova (runs it (operational or managerial control), 0%); Janeta Sarkisian (managing employee (on the payroll), 0%); Janeta Sarkisian (runs it (operational or managerial control), 0%); Jasmin Javaherian (managing employee (under contract), 0%); Jasmin Javaherian (runs it (operational or managerial control), 0%); Victoria Tsoy (managing employee (on the payroll), 0%); Victoria Tsoy (runs it (operational or managerial control), 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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.22% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
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 207 hospices CMS’s data show serving patients in ZIP code 93534, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 17.
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 |
|---|---|
| Valley’s Best Hospice - Av | 9 |
| Oasis Hospice | 11 |
| Bristol Hospice- Lancaster | 2 |
| Maximum Palliative Care and Hospice, Inc. This hospice | 17 |
| United Alliance Hospice Care, Inc. | 12 |
| Anthem Hospice | 0 |
| Rose Desert Hospice | 9 |
| Kaiser Foundation Hospital Valley Continuing Care | 10 |
| Vitas Healthcare Corporation of California | 3 |
| Mission Hospice | 15 |
| Bristol Hospice- Greater Los Angeles | 8 |
| H & A Hospice Inc. | 42 |
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.