Mountainside Hospice and Palliative Care, Inc.
A hospice in Chatsworth, California 91311
20955 Devonshire St Suite A, Chatsworth, California 91311. (818) 818-5009.
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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.
- 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 213 hospices serving ZIP code 91311 had 5.
The last inspection on record was on May 10, 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
5 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 10, 2024: reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies
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Rights of the patient (42 CFR 418.52(c)(4))
“Upon patient record review, 9 of 14 (Patient #1, #2, #3, #5, #6, #7, #8, #9, #10) did not have evidence that the patient chooses a health care provider, including an attending physician. Patients #1-3, 5-10: Records indicate no evidence of Patient/Caregiver signing Change of Attending Form upon Hospice Agency, Medical Director resigning from Agency effective 2/24 and each election of benefit form listed this physician specifically.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 290 words
“Upon patient record review, 3 of 14 (Patient #5, #7, #8) did not have evidence that the plan of care includes all services necessary for the palliation and management of the terminal illness and related conditions which including interventions to manage pain and symptoms. Patient #5; Records indicate evidence of active symptoms with no documentation of follow up with RN or Hospice Physician and no interventions completed upon LVN visit performed on 12/29/23, patient reports chest pain episodes poorly relieved with nitroglycerin. Additional complaints from patient of chest pain persists on 4/11/24 with no follow up with RN or Hospice Physician and no documented interventions completed. Patient #7: Records indicate evidence of RN and LVN documentation on every visit completed for first and second benefit period of patient reports shortness of breath at rest. LVN has no documentation of reporting active dyspnea to RN or MD notification, evidence of sob with minimal relief with ordered medication therapy in place. RN visits have no evidence of MD notification despite continued patient reports of dyspnea with active medication regime. Education provided by RN/LPN in each visit is the repeated of deep breathing techniques, energy conservation and low sodium diet. No evidence of changes to plan of care or or higher level of care to manage uncontrolled symptom. Patient #8: Records indicate patient complaints of continued chest pain per RN assessment on 5/2/24 with no MD notification or changes to plan of care. In addition, LVN visit on 5/9/24 documentation states patient continues to report chest pain poorly relieved by ordered nitroglycerin with no evidence of updating RN or MD notification to uncover if medical intervention or need for higher level of care, is ordered to effectively manage active symptoms of chest pain.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 101 words
“Upon patient record review, 2 of 14 (Patient #1 and #3) 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: Records indicate on medication profile per Physician order of Oxygen 2L via NC, PRN. RN visit on 2/26/24 and LVN visit on 2/29/24, patient is administering 3L of Oxygen to manage dyspnea and there was not an update to the order on file. Patient #3: records indicate no evidence of medications listed on Initial Plan of Care on 12/07/23.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 14 (Patient #5) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #5: Records indicate no evidence reason Physician ordered antibiotic Doxycycline Monohydrate 7mg PO 1 capsule three times daily X 10 days verbal order on 3/21/24 with no update to the plan of care regarding infection.”
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Authentication (42 CFR 418.104(b))
“Upon patient client record review, 1 of 14 (Patient #6) 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 #6: Records indicate no evidence of chaplain signature or date on Initial Spiritual Care Assessment on EMR date, 2/05/24.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 10, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 14, 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): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 7 owners or officers are people: Hollis Frederick (corporate director, 100%); Hollis Frederick (managing employee (on the payroll), 100%); Hollis Frederick (runs it (operational or managerial control), 100%); Hollis Frederick (corporate officer, 75%); Tori Hicks (owns 5% or more directly, 50%); Hollis Frederick (owns 5% or more directly, 50%); Tori Hicks (corporate officer, 25%).
- 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 213 hospices CMS’s data show serving patients in ZIP code 91311, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; 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 |
|---|---|
| Golden Oaks Hospice, Inc. | 4 |
| Tri Valley Hospice Care, Inc. | 4 |
| Metro Medical Services, Inc. | 16 |
| Serene Hospice, LLC | 4 |
| Valley Heart Hospice Care, Inc. | 7 |
| Smart Choice Hospice, Inc. | Not given |
| Devine Hospice Care, Inc. | Not given |
| Good Life Palliative Care | 7 |
| Highland Hospice, Inc. | 0 |
| Calm Care Hospice, Inc. | 4 |
| Competent Hospice Inc. | 3 |
| Joy Hospice Care, Inc. | 44 |
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.