Ascendio Health Systems Inc.
A hospice in Ontario, California 91761
1035 S Miliken Avenue Suite I, Ontario, California 91761. (909) 904-0829.
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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.
- 4 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?
4 deficiencies cited in the last three years
The middle of the 123 hospices serving ZIP code 91761 had 6.
The last inspection on record was on Apr 5, 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
4 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 5, 2024: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 121 words
“Upon patient record review, 2 of 14 (Patient #1, #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. #1-No initial bereavement assessment was completed for this patient. #10-The initial bereavement assessment was performed on day 9. The first documentation of patient contact by the SC is on day 7, with the family requesting the assessment be completed 2 days later.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 101 words
“Upon patient record review, 1 of 14 (Patient #7) 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. #7-The MSW was ordered PRN only.”
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Training (42 CFR 418.100(g)(1))
“Upon personnel record review, 3 of 15 (Personnel #6, #7, #8) did not have evidence the hospice employees and contract employees have received orientation on the hospice philosophy. #6, #7, #8 - There is no evidence in contract therapy staff personnel records of orientation to hospice philosophy.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 14 (Patient #10) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 #10-There was no effective date documented on the Election of Medicare Hospice Benefit. There was no identification of physician on the Election of Medicare Hospice Benefit.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 5, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 11, 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): 12.1 nurse care minutes per routine home care day, 6.5% of skilled nursing minutes at weekends and a visit near death for 99% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 80% at home, 8% in assisted living, 12% in a skilled nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.1 min |
| Skilled nursing minutes at weekends | 6.5% |
| Visits near death | 99.0% of patients who died |
Who owns it?
- 24 owners or officers are people: Adalbert M Zamora (managing employee (on the payroll), 100%); Adalbert M Zamora (runs it (operational or managerial control), 100%); Daniel D Ghalchi (corporate officer, 100%); Daniel D Ghalchi (corporate director, 100%); Daniel D Ghalchi (managing employee (on the payroll), 100%); Daniel D Ghalchi (runs it (operational or managerial control), 100%); Ray Y Hahn (corporate officer, 100%); Ray Y Hahn (corporate director, 100%); Ray Y Hahn (managing employee (on the payroll), 100%); Ray Y Hahn (runs it (operational or managerial control), 100%); Daniel D Ghalchi (owns 5% or more directly, 50%); Ray Y Hahn (owns 5% or more directly, 50%); Ferdinand B Villanueva (owns 5% or more directly, 20%); Ferdinand B Villanueva (corporate officer, 20%); Cel Arden D Zalsos (owns 5% or more directly, 20%); Cel Arden D Zalsos (holds 5% or more security interest, 20%); Cel Arden D Zalsos (corporate officer, 20%); Cel Arden D Zalsos (corporate director, 20%); Cel Arden D Zalsos (runs it (operational or managerial control), 20%); Jose A De La Llana (owns 5% or more directly, 20%); Joel M Zamora (owns 5% or more directly, 20%); Joel M Zamora (corporate officer, 20%); Joel M Zamora (corporate director, 20%); Joel M Zamora (runs it (operational or managerial control), 20%).
- 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).
- 84.62% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 15.8% 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 | 9 of 10 |
How does it compare nearby?
- Of the 123 hospices CMS’s data show serving patients in ZIP code 91761, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 4.
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 |
|---|---|
| Accentcare Hospice & Palliative Care of California - San Bernardino | 9 |
| Nurses Care Hospice, Inc. | 2 |
| Pacific Valley Hospice Care, Inc. | 0 |
| Symphony Hospice, Inc. | 22 |
| Ascendio Health Systems Inc. This hospice | 4 |
| Tender Heart Hospice, Inc. | Not given |
| Vnacare | 9 |
| Alta Loma Hospice, Inc. | 2 |
| Bristol Hospice - Inland Valley LLC | 8 |
| Beacon Hospice Care | 14 |
| Vineta Hospice Care, Inc. | 22 |
| Kaiser Foundation Hospital Hospice | 4 |
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.