Rsag Hospice Inc.
A hospice in San Diego, California 92101
402 West Broadway Suite 400, San Diego, California 92101. (619) 810-1939.
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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.
- 12 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
12 deficiencies cited in the last three years
The middle of the 57 hospices serving ZIP code 92101 had 7.
The last inspection on record was on May 23, 2024: 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
12 deficiencies in 1 month of the last 36. Last cited May 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.
May 23, 2024: initial inspection by the Accreditation Commission for Health Care12 deficiencies
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Rights of the patient (42 CFR 418.52(c)(4))
“Upon patient record review, 1 of 10 (Patient #7) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient #7 - Consent was blank regarding the patients choice of a health care provider, including an attending physician.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 129 words
“Upon patient record review, 2 of 10 (Patient #5, 10) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #5 - MSW documented completion of bereavement assessment on 05/04/24 but no evidence assessment was completed; no patient visit/phone call was made since admission. Patient #10 - MSW documented completion of bereavement assessment on 04/02/24 but no evidence assessment was completed; no patient visit/phone call was made since admission.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 118 words
“Upon patient record review, 1 of 10 (Patient #4) 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 #4-No patient visits were made to patient after initial assessment and PRN visit frequency not documented. MSW frequency was written as PRN.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 10 (Patient #1) 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 medications and treatments. Patient #1 - Wound care being provided by outside agency but orders for the wound care to the R lower extremity and lateral foot not on POC dated 03/28/24.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 109 words
“Upon patient record review, 3 of 10 (Patient #2, 4, 5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2 - POC dated 03/08/24 SN visit frequency 2 x week only 1 visit made week 1. Patient #4 - MSW visit frequency order at recertification and PRN; Patient admitted 1/31/24 and has not had visit since the initial. Patient #5 - POC dated 04/30/24 SN visit frequency 1 x wk and 3 PRN - PRN visit made 05/01, 05/02, 05/09, 05/10 and 05/17/24 - no additional PRN visit ordered for additional 2 PRN visits.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 139 words
“Upon patient record review 2 of 10 (Patient #1, 7) 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 - Aide care plan contained peri care every visit but aide did not provide 04/12/24 or 05/15/24. Aide assisted with feeding patient on 05/15/24 but care plan does not contain “assist with feeding”. Patient #7 - Aide care plan contained shower every visit but aide provided bed bath on 05/07/24 and 05/16/24. Aide fed patient breakfast on 04/09/24 but care plan does not contain “assist with feeding”. Visit frequency 2x week but only 1 visit documented week 9.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 129 words
“Upon patient record review, 2 of 10 (Patient #2, 5) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records Patient #2 - Home health aide visit note on 04/17/24 aide dated signed on 04/16/24 and visit note on 05/01/24 aide dated signed by HHA on 04/30/24. SN documented “provided wound care”on visit note 05/06/24, 05/09/24 and 05/20/24 - did not document specific wound care provided. Patient #5 - SN visit note on 05/07/24, 05/14/24 and 05/21/24 did not document amount or description of drainage from biliary drainage tube.”
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Retention of records (42 CFR 418.104(d))
“Upon observation there was not evidence that all patient records are retained for a minimum of six years from the date of the most recent discharge or the death of the patient, unless state law stipulates a longer period of time from the acquired agency. Agency was acquired in 2023 - Prior to acquiring all patients were discharged and records do not exist for these patients. This agency’s first patient was admitted 01/31/2024.”
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Personnel qualification (42 CFR 418.114(b)(4))
“Upon personnel record review, 1 of 12 (Personnel #12) did not have evidence that all Speech Therapy Services are provided by a qualified licensed Speech-Language Pathologist (SLP) or Audiologist in accordance with the state’s Speech-Language Pathology Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel #12 - Agency unable to obtain documentation of licensed contract personnel from agency they have contract with, due to not providing SLP since they started admitting patients.”
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Personnel qualification (42 CFR 418.114(b)(5))
“Upon personnel record review, 1 of 12 (Personnel #11) did not have evidence all Occupational Therapy Services are provided by a qualified licensed Occupational Therapist (OT) in accordance with the state’s Occupational Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel #11- Agency unable to obtain documentation of licensed contract personnel from agency they have contract with, due to not providing OT since they started admitting patients.”
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Personnel qualification (42 CFR 418.114(b)(7))
“Upon personnel record review, 1 of 12 (Personnel #10) did not have evidence all Physical Therapy Services are provided by a qualified licensed Physical Therapist (PT) in accordance with the state’s Physical Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel #10-Agency unable to obtain documentation of licensed contract personnel from agency they have contract with, due to not providing PT since they started admitting patients.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Upon personnel record review, 3 of 12 (Personnel #10, 11,12 ) did not have evidence the hospice obtained a criminal background check on all contracted individuals who have direct patient care and access to patient records. Personnel #10, 11, 12 - Agency unable to obtain documentation of background check on contract personnel from agency they have contract with, due to not providing PT, OT or SLP since they started admitting patients.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 23, 2024 | Initial inspection by the Accreditation Commission for Health Care | 12 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 17, 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): 14.2 nurse care minutes per routine home care day, 5.5% 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): 44% at home, 56% in assisted living, 1% 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 | 14.2 min |
| Skilled nursing minutes at weekends | 5.5% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- Sda Healthcare, Inc. owns 100% directly since Feb 6, 2024.
- 14 owners or officers are people: Taib Rawi (owns 5% or more through other companies, 70%); Taib Rawi (corporate officer, 70%); Taib Rawi (corporate director, 70%); Taib Rawi (managing employee (on the payroll), 70%); Sarabjit Singh Anand (owns 5% or more through other companies, 15%); Sarabjit Singh Anand (corporate officer, 15%); Sarabjit Singh Anand (corporate director, 15%); Sarabjit Singh Anand (managing employee (on the payroll), 15%); Ruben Sukiasyan (owns 5% or more through other companies, 15%); Ruben Sukiasyan (corporate officer, 15%); Ruben Sukiasyan (corporate director, 15%); Ruben Sukiasyan (managing employee (on the payroll), 15%); Megan Gardner (managing employee (on the payroll)); Marcia H Yee (managing employee (on the payroll)).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sda Healthcare, Inc. | Owns 5% or more directly | 100% | Feb 6, 2024 |
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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 63.6% 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 | 8 of 10 |
How does it compare nearby?
- Of the 57 hospices CMS’s data show serving patients in ZIP code 92101, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 12.
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 |
|---|---|
| G and P Hospice Inc. | Not given |
| Apa Hospice Care Inc. | 9 |
| Rsag Hospice Inc. This hospice | 12 |
| 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 |
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.