Community Care Hospice, Inc.
A hospice in Van Nuys, California 91401
13629 1/2 Victory Blvd, Van Nuys, California 91401. (818) 616-4956.
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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.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
9 deficiencies cited in the last three years
The middle of the 252 hospices serving ZIP code 91401 had 4.
The last inspection on record was on Jun 6, 2024: a follow-up 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
9 deficiencies in 2 months of the last 36. Last cited Jun 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.
Jun 6, 2024: follow-up inspection by The Joint Commission6 deficiencies
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Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Record Review. In 3 of 5 patient records reviewed, the organization failed to ensure the patient record was complete, promptly, and accurately documented. For example: In RRNHV#1, RRNHV#3, and RRNHV#4 the IDG documentation noted a frequency for the spiritual counselor was for every certification period, yet the Chaplain’s documentation noted monthly visits. These observations were reviewed with the Administrator.”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Record Review. In 1 of 5 patient records reviewed, For active patients, the organization failed to ensure the plan of care included all services needed for the palliation and management of the terminal illness and related conditions. For example: in review of RRNHV#1 there was documentation of a UTI however its presence was not reflected in the plan of care. This observation was reviewed with the Administrator.”
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Competency evaluation (42 CFR 418.76(c)(1))
The inspectors’ words, 105 words
“Observed in HR File Review. In 2 of 2 HR files reviewed, for the Hospice Aide the organization failed to ensure the supervisor evaluates the required areas by observing the hospice aide’s performance of the tasks with a patient or pseudo-patient as part of a simulation. On review of HR#1 and HR#2 the initial aide competency did not indicate that required tasks were evaluated by observation with a patient or pseudo patient. In HR#2 the competency was also not conducted by an RN. as the CEO was noted to be completing the competency for the Aide. This observation was reviewed with the CEO, and Administrator.”
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Supervision of hospice aides (42 CFR 418.76(h)(2))
“Observed in HR File Review. In 2 of 2 HR files reviewed, for the Hospice Aide, it was noted that there was no documentation of an annual on-site supervisory visit to the location where a patient was receiving care in order to observe and assess each aide while he or she was preforming care was performed. This observation was reviewed with the CEO, and Administrator.”
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Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 2 of 5 patient records reviewed, the organization failed to ensure the patient record contain information that reflects the patient’s care, treatment and services. For example: on review of RRNHV#1 and RRNHV#4 the LVN visit note from 8 days prior to survey was not submitted per organization policy, as it was found to be incomplete in the record.These observations were reviewed with the Administrator.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Leadership Session. the organization failed to ensure the written agreement with an outside agency providing contracted services for the hospice include a stipulation that the outside agency will complete criminal background checks on contracted employees who provide direct patient care or have access to patient records, as the DME contract reviewed did not contain a stipulation for background checks. This observation was reviewed with the Administrator.”
Dec 7, 2023: follow-up inspection by The Joint Commission3 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 293 words
“Observed in Record Review. In 5 of 5 patient records reviewed, for active patients, the organization did not develop a individualized written plan of care with goals that were specific, measurable, achievable, realistic, and time-bound. On review of all records reviewed many patient goals were noted to not time-bound. All goals were noted to have an achieve by date of the end of the benefit period, or the date of the next IDG meeting yet there was no correlation between the target date set and the established goals. In RRNHV#1 an example of a goal was Nurse will monitor the cardiac status of patient during every visit and will report findings to the MD, this goal is continuous. Throughout the records many of the stated goals were interventions such as assess for, observe, and educate. In RRNHV#2 example of goals were -Pt will maintain optimum peripheral circulation within 2 weeks from SOC date and The attending RN will educate the PCG on how to manage syncope episodes and proper teachings on fall risk and safety within 48 hours from the SOC date. Throughout all records reviewed the were not noted to be individualized, specific and measurable, with interventions listed as goals. Example in RRNHV#3 a goal was Provide end of life care education as part of the coping process and Will minimize episodes of confusion and forgetfulness. In RRNHV#4 example was -Prevent discomfort due to increasing edema and Pt will maintain optimum peripheral circulation. Assess / monitor cardiac status every visit. A psychosocial the goal was Feeling better, improve his memory and be more active. In RRNHV#5 examples of listed goals were Assess Pt. status for on-going care. -Blood sugar management for pt. comfort. These observations were reviewed with the Administrator, and CEO.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 99 words
“Observed in Record Review. In 2 of 5 patient records reviewed, For active patients, the organization failed to ensure the plan of care included all services needed for the palliation and management of the terminal illness and related conditions. For example: on review of RRNHV#1 the patient was being seen by the MSW and Chaplain yet there were no psychosocial or spiritual care plans to guide the care. In RRNHV#4 the documentation noted issues with pain and a high fall risk, yet the issues were not reflected in the plan of care. These observations were reviewed with the Administrator.”
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Competency evaluation (42 CFR 418.76(c)(1))
The inspectors’ words, 101 words
“Observed in HR File Review. In 2 of 2 HR files reviewed, for the Hospice Aide the organization failed to ensure the supervisor evaluates the required areas by observing the hospice aide’s performance of the tasks with a patient or pseudo-patient as part of a simulation. On review of HR#1 and HR#2 the initial aide competency did not indicate that required tasks were evaluated by observation with a patient or pseudo patient. For HR#2 the competency was not conducted by an RN, as the CEO was noted to complete the initial competency. This observation was reviewed with the CEO, and Administrator.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 6, 2024 | Follow-up inspection by The Joint Commission | 6 deficiencies cited |
| Dec 7, 2023 | Follow-up inspection by The Joint Commission | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 20, 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): 9.5 nurse care minutes per routine home care day, 9.3% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 88% at home, 12% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 9.5 min |
| Skilled nursing minutes at weekends | 9.3% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- CMS’s ownership file has no owners listed for this hospice.
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: 10 of 10 (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 | 10 of 10 |
How does it compare nearby?
- Of the 252 hospices CMS’s data show serving patients in ZIP code 91401, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 9.
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 |
|---|---|
| Victory Hospice Care | 20 |
| Holy Care Hospice, Inc. | 6 |
| Ama Hospice and Palliative Care, Inc. | Not given |
| Monarch Hospice, Inc. | Not given |
| Angelical Hospice | Not given |
| Light Angel Hospice Inc. | 1 |
| Peace Hospice and Palliative Care, Inc. | Not given |
| All Inclusive Hospice Care, Inc. | Not given |
| AZ Hospice Palliative Care, Inc. | Not given |
| Golden Gate Hospice Care | Not given |
| La Best Hospice Care | 5 |
| Community Care Hospice, Inc. This hospice | 9 |
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.