Mkb Consulting LLC
A hospice in Palm Desert, California 92260
74710 Highway 111, Suite 102, Palm Desert, California 92260. (800) 909-7971.
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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.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 52 hospices serving ZIP code 92260 had 6.
The last inspection on record was on Jul 9, 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
7 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 9, 2024: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 140 words
“Upon patient record review, 3 of 5 (Patient #2,3,4) 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 #2: POC ordered MSW “as needed”. No frequency or specific number of PRN visits listed. Patient #3: POC ordered MSW “1xmonth as needed” Frequency unclear. Patient #4: POC ordered MSW 1-2xm and PRN. Frequency not specific. SC 1-2xm and PRN, without specifics for PRN.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 106 words
“Upon patient record review, 4 of 4 (Patient #1, 2, 3, 4) 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 equipment and supply needs. Patient #1: Documentation shows patient is on oxygen, uses walker and incontinent. Nothing listed under DME or supplies on POC. Patient #2: Documentation shows patient is incontinent. No supplies listed on POC Patient #3: Documentation shows patient has foley catheter. No supplies listed on POC Patient #4: Documentation shows patient has foley catheter, oxygen and incontinent. No equipment or supplies listed on the POC”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 156 words
“Upon client record review, 3 of 4 (Patient #2, 3, 4) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #2: MSW routine visit on 7/2 without an order. NP visit on 6/12 without an order. POC ordered SN 2xw beginning 5/12. LVN visit on 5/11. No evidence to support order for this visit or PRN visit. No evidence of any SN visits wk of 6/30. Patient #3: SN ordered 2xwk beginning 3/7. No evidence of a 2nd visit week of 3/7. Patient #4: SC 1-2xm and PRN. SN ordered 2xwk and 3 PRN beginning 6/12. Frequency not specific, 4 SN visits wk of 6/12. Only 1 visit marked as PRN on 6/15. (6/12, 6/12, 6/13, 6/15). 4 SN visits wk of 6/16 on 6/17, 6/18, 6/19 and 6/20. None marked as PRN. No evidence of an order to increase visit frequency.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 1 of 4 (Patient #1) 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 ordered 3xwk beginning 5/31. No evidence of an aide visit wk of 5/31.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 218 words
“Upon patient client record review, 4 of 4 (Patient #1, 2, 3, 4) 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 #1: IDG dated 6/20 not electronically signed by MSW, IDG dated 7/5 not electronically signed by MSW or RN. Documentation supports that all IDG members were present at meetings. Documentation in patient chart has patient as DNR. POC lists CPR as “Undecided” in error rather than “DNR”. Visit by LVN on 6/8, 6/10, 6/14, 6/21, 6/26 and 6/28 not signed by clinician Patient #2: IDG dated 5/11 and 5/16, 5/30 not signed by SC, IDG dated 6/13 and 6/27 not signed by MSW. Visit by NP 6/12 - visit note is blank other than date and time. MSW visit on 7/2 not signed by clinician. SN visit notes on 5/11, 5/13, 5/17, 5/20, 5/22, 5/31, 6/3, 6/5, 6/10, 6/17, 6/20, 6/24, 6/26 not signed by clinicians. Patient #3: RN visit on 5/21 not signed by clinician Patient #4: POC lists Aide as declined and as “3xwk and 2 visits as needed”. Contradictory and unclear.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Upon client record review, 1 of 4 (Patient #4) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient’s attending physician: • A copy of the hospice discharge summary • The patient’s clinical record, if requested Patient #4: No evidence a discharge summary was sent to the patient’s attending physician.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon client record review, 1 of 4 (Patient #4) did not have evidence that the discharge summary includes all required information. Patient #4: DC summary only contains death visit information.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 9, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 15, 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): 82% at home, 15% in assisted living, 3% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 3 owners or officers are people: Bhavna R Uppal (owns 5% or more directly, 99%); Bhavna R Uppal (corporate officer, 99%); Luzviminda J Bergado (managing employee (on the payroll), 99%).
- 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.
- 87.14% 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.
How does it compare nearby?
- Of the 52 hospices CMS’s data show serving patients in ZIP code 92260, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 7.
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 |
|---|---|
| Reliance Hospice, Inc. | 6 |
| Tranquility Sands Hospice, Inc. | 13 |
| Mkb Consulting LLC This hospice | 7 |
| Preventive Care Hospice, Inc. | Not given |
| Gentiva | 14 |
| Bella Terra Hospice of the Desert | 4 |
| Suncrest Hospice Care | 6 |
| Allied Hospice & Palliative Care | 4 |
| Family Hospice Care LLC | 0 |
| Serenity Hospice LLC | 6 |
| Bella Terra Hospice | 1 |
| Mission Hospice Services of San Diego LLC | 3 |
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.