Ang Hospice, Inc.
A hospice in San Francisco, California 94103
95 3rd Street, Ste 254, San Francisco, California 94103. (415) 263-9823.
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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.
- 70 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 mean3
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
70 deficiencies cited in the last three years
The middle of the 24 hospices serving ZIP code 94103 had 5.
The last inspection on record was on Apr 13, 2026: a follow-up inspection by the Accreditation Commission for Health Care.
14 deficiencies at condition level, the more serious of CMS’s two levels
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
70 deficiencies in 2 months of the last 36. Last cited Apr 2026. Most serious: Condition-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 13, 2026: follow-up inspection by the Accreditation Commission for Health Care28 deficiencies
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Condition of Participation: Initial and Comprehensive Assessment of the Patient.”
-
Quality assessment & performance improvement (42 CFR 418.58)
“Upon observation, there was no evidence the organization develops, implements, and maintains an effective, on-going, organization wide Quality Assessment and Performance Improvement (QAPI) program. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Furnishing of non-core services (42 CFR 418.70)
“Upon observation, there was no evidence the hospice is in compliance with accepted professional standards and principles for all non-core services which includes physical therapy, occupational therapy and speech-language pathology and volunteers.”
-
Organizational environment (42 CFR 418.100)
“Condition of Participation: Organization and Administration of Services.”
-
Medical director (42 CFR 418.102)
“Upon observation, there was no evidence the hospice designates a physician to serve as Medical Director which includes: • The Medical Director must be a doctor of medicine or osteopathy who is an employee or is under contract. • When the Medical Director is not available, a physician designated by the hospice assumes the same responsibilities and obligations as the Medical Director. There is no evidence when the Medical Director is not available, a physician designated by the hospice assumes the same responsibilities and obligations as the Medical Director.”
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Short-term inpatient care (42 CFR 418.108)
“Upon observation agency cannot provide short-term inpatient care. During survey, it was noted agency has no evidence of a contract to provide inpatient care and respite care.”
-
Personnel qualification (42 CFR 418.114)
“Condition of Participation: Personnel Qualifications.”
-
Content of comprehensive assessment (42 CFR 418.54(c))
“Upon patient record review the agency did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Unable to abate due to the agency has not admitted new patients since their compliance date.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 91 words
“Upon patient record review, the agency 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. Unable to abate due to the agency has not admitted new patients since their compliance date.”
-
Program scope (42 CFR 418.58(a)(1))
“Upon observation, there was no evidence the program shows measurable improvement in indicators related to improved palliative outcomes and hospice services. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Program scope (42 CFR 418.58(a)(2))
“Upon observation, there was no evidence the hospice measures, analyzes, and tracks quality indicators, including adverse patient events and other aspects of performance that enable the hospice to assess processes of care, hospice services, and operations. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Program data (42 CFR 418.58(b)(1))
“Upon observation, there was no evidence the program must use quality indicator data, including patient care, and other relevant data, in the design of the program. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Program data (42 CFR 418.58(b)(2))
“Upon observation, there was no evidence the QAPI program uses quality indicator data, including patient care and other relevant data in the design of its program. The hospice must use the data collected to: • Monitor the effectiveness and safety of services and quality of care • Identify opportunities and priorities for improvement No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Program data (42 CFR 418.58(b)(3))
“Upon observation, there was no evidence the board of directors/governing body approves the frequency and detail of the data collection.”
-
Program activities (42 CFR 418.58(c)(1)(ii))
“Upon observation, there was no evidence Quality Assessment and Performance Improvement activities focus on high risk, high volume or problem-prone areas by considering incidence, prevalence, and the severity of problems. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Program activities (42 CFR 418.58(c)(2))
“Upon observation, there was no evidence the hospice investigates all adverse events, incidents, accidents, variances or unusual occurrences that involve patient care and develops a plan of correction to prevent the same or similar event from occurring again.”
-
Executive responsibilities (42 CFR 418.58(e)(1))
“Upon observation, there was no evidence of involvement of the governing body and organizational leaders in the Quality Assessment/Performance Improvement (QAPI) program. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Executive responsibilities (42 CFR 418.58(e)(2))
“Upon observation, there was no evidence the hospice’s governing body is responsible for ensuring that the hospice-wide Quality Assessment and Performance Improvement efforts address priorities for improved quality of care and patient safety, and that all improvement actions are evaluated for effectiveness. No evidence of QAPI minutes or activities for 2023, 2024, 2025 and 1st qtr 2026.”
-
Governing body and administrator (42 CFR 418.100(b))
The inspectors’ words, 96 words
“Upon observation, there was no evidence the hospice is directed by a Board of Directors/governing body which assumes full legal authority and responsibility for the operation of the hospice. There is no evidence of core and non-core services/staff available to patients such as volunteer, physical, occupational, speech language therapy and lack of active QAPI program. In addition, the agency cannot provide short-term inpatient care is provided for pain control, symptom management and respite purposes. The agency Administrator nor governing body has implemented any plan of corrections to abate condition level findings from survey in February 2026.”
-
Services (42 CFR 418.100(c))
“Upon observation, there was no evidence the hospice is primarily engaged in providing the following care and services: • volunteer • Physical therapy, occupational therapy, speech-language pathology services • Short-term inpatient care”
-
Professional management responsibility (42 CFR 418.100(e))
“Upon contract review agency did not have evidence of a therapy agreement to furnish any services under arrangement included that the hospice must retain administrative and financial management, and oversight of staff and services for all arranged services, to ensure the provision of quality care. Arranged care/services are supported by written contract/agreement that requires all care/services are: • Authorized by the hospice • Furnished in a safe and effective manner by qualified personnel • Delivered in accordance with the patient’s plan of care”
-
Inpatient care pain & symptom control (42 CFR 418.108(a)(1))
“Upon observation, there was no evidence of a contract for short term inpatient care for pain control and symptom management with a Medicare certified hospice, if applicable.”
-
Inpatient care for respite purposes (42 CFR 418.108(b))
“Upon observation, there was no evidence of a contract to provide inpatient care for respite purposes in a Medicare certified hospice, if applicable.”
-
Inpatient care for respite purposes (42 CFR 418.108(b)(1)(ii))
“Upon observation, there was no evidence of a contract to provide inpatient care for respite purposes in a Medicare or Medicaid certified nursing facility, if applicable.”
-
Personnel qualification (42 CFR 418.114(b)(4))
“Upon personnel record review agency 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 qualification (42 CFR 418.114(b)(5))
“Upon personnel record review agency 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 qualification (42 CFR 418.114(b)(7))
“Upon personnel record review, agency 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.”
-
Criminal background checks (42 CFR 418.114(d)(1))
“Upon personnel record review, agency 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. There is no evidence of therapy personnel files.”
Feb 20, 2026: reaccreditation inspection by the Accreditation Commission for Health Care42 deficiencies
-
Initial & comprehensive assessment of patient (42 CFR 418.54)
“Condition of Participation: Initial and Comprehensive Assessment of the Patient.”
-
Quality assessment & performance improvement (42 CFR 418.58)
“Upon observation, there was no evidence the organization develops, implements, and maintains an effective, on-going, organization wide Quality Assessment and Performance Improvement (QAPI) program.”
-
Core services (42 CFR 418.64)
“Upon personnel record review, the agency did not have evidence that the hospice routinely provide substantially all core services directly by hospice personnel (The hospice issues a W-2 form for the employee). These services include: • Medical social services”
-
Furnishing of non-core services (42 CFR 418.70)
“Upon observation, there was no evidence the hospice is in compliance with accepted professional standards and principles for all non-core services which includes physical therapy, occupational therapy and speech-language pathology and volunteer services.”
-
Organizational environment (42 CFR 418.100)
“Condition of Participation: Organization and Administration of Services.”
-
Medical director (42 CFR 418.102)
“Upon observation, there was no evidence the hospice designates a physician to serve as Medical Director which includes: • The Medical Director must be a doctor of medicine or osteopathy who is an employee or is under contract. • When the Medical Director is not available, a physician designated by the hospice assumes the same responsibilities and obligations as the Medical Director. Agency does not currently have an Alternate Medical Director.”
-
Personnel qualification (42 CFR 418.114)
“Condition of Participation: Personnel Qualifications.”
-
Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 2 of 8 (Patient #1,2) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient 1: Patient was admitted on 12/24/25. There is no evidence of a psychosocial comprehensive assessment. Patient 2: Patient was admitted on 01/07/26. There is no evidence of a psychosocial comprehensive assessment.”
-
Content of comprehensive assessment (42 CFR 418.54(c))
The inspectors’ words, 117 words
“Upon patient record review 4 of 8 (Patient #1,2,3,4) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient 1: Patient was admitted on 12/24/25. There is no evidence of a psychosocial comprehensive assessment. Patient 2: Patient was admitted on 01/07/26. There is no evidence of a psychosocial comprehensive assessment. Patient 3: Patient admitted 02/05/26. There is no evidence of a spiritual or psychosocial comprehensive assessment. Patient 4: Patient admitted 02/12/26. There is no evidence of a spiritual or psychosocial comprehensive assessment.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 120 words
“Upon patient record review, 3 of 8 (Patient #2,3,4) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 2: Current medication record includes orders for MiraLAX powder. Order does not include a diluent. Patient 3: Current medication record includes orders for MiraLAX powder. Order does not include a diluent. Patient 4: Current medication record includes orders for Polyethylene glycol powder. Order does not include a diluent.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 92 words
“Upon patient record review, 4 of 8 (Patient #1,2,3,4) 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 1,2,3,4,: There is no evidence that an initial comprehensive bereavement assessment was completed.”
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IDG, care planning, coordination of services (42 CFR 418.56)
The inspectors’ words, 122 words
“Upon patient record review, 4 of 8 (Patient #5,6,7,8) did not have evidence in the patient record that the written plan of care is developed by the IDG, in consultation with the patient’s attending physician, which specifies the services necessary to meet the patient and family-specific needs identified in the comprehensive assessment as it relates to the terminal illness and related conditions. Patient 5: Patient death 01/28/26, there is no evidence of a bereavement plan of care. Patient 6: Patient death 12/30/25, there is no evidence of a bereavement plan of care. Patient 7: Patient death 08/17/25, there is no evidence of a bereavement plan of care. Patient 8: Patient death 01/02/26, there is no evidence of a bereavement plan of care.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 3 of 8 (Patient #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 medications and treatments. Patient 2: Current POC includes orders for MiraLAX powder, order does not include a diluent. Patient 3: Current POC includes orders for MiraLAX powder, order does not include a diluent. Patient 4: Current POC includes orders for Polyethylene glycol powder, order does not include a diluent.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 2 of 8 (Patient #1,3) 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 1: Current POC includes orders for aspirin. There is no evidence of a risk for bleeding care plan that includes appropriate goals and interventions. Patient 3: Current POC includes orders for aspirin. There is no evidence of a risk for bleeding care plan with appropriate goals and interventions.”
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Program scope (42 CFR 418.58(a)(1))
“Upon observation, there was no evidence the program shows measurable improvement in indicators related to improved palliative outcomes and hospice services. Agency was not able to produce data from years of 2023, 2024 or 3 quarters of 2025.”
-
Program scope (42 CFR 418.58(a)(2))
“Upon observation, there was no evidence the hospice measures, analyzes, and tracks quality indicators, including adverse patient events and other aspects of performance that enable the hospice to assess processes of care, hospice services, and operations. Agency was not able to provide evidence of QAPI activities for 2023,2024 and 3 quarters of 2025”
-
Program data (42 CFR 418.58(b)(1))
“Upon observation, there was no evidence the program must use quality indicator data, including patient care, and other relevant data, in the design of the program.”
-
Program data (42 CFR 418.58(b)(2))
“Upon observation, there was no evidence the QAPI program uses quality indicator data, including patient care and other relevant data in the design of its program.”
-
Program data (42 CFR 418.58(b)(3))
“Upon observation, there was no evidence the board of directors/governing body approves the frequency and detail of the data collection.”
-
Program activities (42 CFR 418.58(c)(1)(i))
“Upon observation, there was no evidence QAPI activities focus on high risk ,high volume, or problem prone areas.”
-
Program activities (42 CFR 418.58(c)(1)(ii))
“Upon observation, there was no evidence Quality Assessment and Performance Improvement activities focus on high risk, high volume or problem-prone areas by considering incidence, prevalence, and the severity of problems.”
-
Program activities (42 CFR 418.58(c)(2))
“Upon observation, there was no evidence the hospice investigates all adverse events, incidents, accidents, variances or unusual occurrences that involve patient care and develops a plan of correction to prevent the same or similar event from occurring again.”
-
Executive responsibilities (42 CFR 418.58(e)(1))
“Upon observation, there was no evidence of involvement of the governing body and organizational leaders in the Quality Assessment/Performance Improvement (QAPI) program.”
-
Executive responsibilities (42 CFR 418.58(e)(2))
“Upon observation, there was no evidence the hospice’s governing body is responsible for ensuring that the hospice-wide Quality Assessment and Performance Improvement efforts address priorities for improved quality of care and patient safety, and that all improvement actions are evaluated for effectiveness.”
-
Control (42 CFR 418.60(b)(2))
“Upon observation, there was no evidence in the QAPI reports that the hospice maintains a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases. The agency was not reporting or tracking any infections.”
-
Medical social services (42 CFR 418.64(c))
“Upon observation, there was no evidence the hospice provides medical social services as a core service. Upon review agency does not currently have a Social Worker employed or a plan to cover psychosocial needs and assessment. Recruitment efforts in place and new hire in process.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 120 words
“Upon patient record review, 4 of 8 (Patient #Patient 5,6,7,8) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient(s) 5,6,7,8 did not show evidence of development or implementation of a bereavement plan of care.”
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Phys, occupnl therapy & speech-lang pathology (42 CFR 418.72)
“Upon observation, there was no evidence the hospice ensures that non-core services are provided to hospice patients and their families according to applicable laws and regulations. Non-core services include Physical Therapy, Occupational Therapy and Speech-Language Pathology. Agency was not able to provide a current active contract for PT/OT/ST. They did believe at time of purchase that all contracts were valid.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 165 words
“Upon patient record review, 2 of 8 (Patient #2,3) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 2: Current Aide plan of care does not include frequencies for feeding assistance, record bowel movement or turn and reposition. Patient 3: Current Aide plan of care does not include frequencies for record bowel movement or turn and reposition.”
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Role (42 CFR 418.78(b))
“Upon observation, there was no evidence volunteers are used in day to day administrative and/or direct patient care roles.”
-
Cost saving (42 CFR 418.78(d))
“Upon observation, there was no evidence the hospice documented the cost savings achieved through the use of volunteers. Documentation must include the following: • The identification of each position that is occupied by a volunteer • The work time spent by volunteers occupying those positions • Estimates of the dollar costs that the hospice would have incurred if paid employees occupied the positions identified in paragraph (d)(1) of CFR 418.78 for the amount of time specified in paragraph (d)(2) of CFR 418.78”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel.”
-
Governing body and administrator (42 CFR 418.100(b))
“Upon observation, there was no evidence the hospice is directed by a Board of Directors/governing body which assumes full legal authority and responsibility for the operation of the hospice as evidenced by lack of core and non-core services/staff available to patients such as counseling, volunteer, physical, occupational, speech language therapy and lack of active QAPI program.”
-
Professional management responsibility (42 CFR 418.100(e))
“Upon contract review, the agency did not have evidence of a therapy agreement to furnish any services under arrangement included that the hospice must retain administrative and financial management, and oversight of staff and services for all arranged services, to ensure the provision of quality care. Arranged care/services are supported by written contract/agreement that requires all care/services are: • Authorized by the hospice • Furnished in a safe and effective manner by qualified personnel • Delivered in accordance with the patient’s plan of care”
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Protection of information (42 CFR 418.104(c))
“Upon observation, there was no evidence the organization follows their policies and procedures to maintain the the patient’s clinical record in confidential manner. Agency was not able to provide medical records prior to purchase 6/2025.”
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Retention of records (42 CFR 418.104(d))
“There is not evidence that patient records have been maintained for 6 years. Agency was not able to produce medical records prior to agency purchase date (June of 2025). At the time of survey agency was not able to produce medical records for patients on service prior to purchase 6/2025.”
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Personnel qualification (42 CFR 418.114(b)(3))
“Upon personnel record review, the agency did not have evidence that all Medical Social Services are provided by a qualified Medical Social Worker in accordance with the state’s Social Work Practice Act, the hospice’s policies and procedures and/or job descriptions.”
-
Personnel qualification (42 CFR 418.114(b)(4))
“Upon personnel record review, the agency 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 qualification (42 CFR 418.114(b)(5))
“Upon personnel record review, the agency 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 qualification (42 CFR 418.114(b)(7))
“Upon personnel record review, the agency 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.”
-
Criminal background checks (42 CFR 418.114(d)(1))
“Upon personnel record review, the agency 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. No therapy contract, therefore no therapy personnel records.”
-
Criminal background checks (42 CFR 418.114(d)(2))
“Upon personnel record review, the agency did not have evidence of criminal background checks being obtained in accordance with state requirements. In the absence of state requirements, criminal background checks are obtained within three months of the date of employment for all states that the individual has lived or worked in the past 3 years. No MSW or volunteer personnel.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 13, 2026 | Follow-up inspection by the Accreditation Commission for Health Care | 28 deficiencies cited |
| Feb 20, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 42 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 29, 2022.
- Ownership: for-profit.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- Norcal Bountiful Hospice, LLC owns 49% directly since Sep 24, 2024.
- Norcal Bountiful Hospice, LLC runs it.
- 11 owners or officers are people: Armine Petrosian (corporate officer, 100%); Armine Petrosian (corporate director, 100%); Armine Petrosian (managing employee (on the payroll), 100%); Armine Petrosian (owns 5% or more directly, 51%); Jose L Escobar (managing employee (on the payroll)); Paul Burke (corporate officer); Paul Burke (corporate director); Paul Burke (managing employee (on the payroll)); Ruben Sukiasyan (managing employee (on the payroll)); Atul N Sharma (managing employee (under contract)); Armen Derian (managing employee (under contract)).
- 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 |
|---|---|---|---|
| Norcal Bountiful Hospice, LLC | Owns 5% or more directly | 49% | Sep 24, 2024 |
| Norcal Bountiful Hospice, LLC | Runs it (operational or managerial control) | 49% | Sep 24, 2024 |
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 24 hospices CMS’s data show serving patients in ZIP code 94103, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 70.
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 |
|---|---|
| Ang Hospice, Inc. This hospice | 70 |
| Sutter Care at Home | 0 |
| By the Bay Health | 8 |
| Kaiser Foundation Hospital Hospice-San Francisco | 0 |
| Self-Help Home Care & Hospice | 10 |
| Crossroads Home Health & Hospice | 7 |
| Health Link Hospice | 2 |
| Pathways Home Health and Hospice | 4 |
| Mission Hospice & Home Care, Inc. | 8 |
| Vitas Healthcare Corporation of California | 1 |
| Asian Network Hospice, Inc. | Not given |
| American Carequest Hospice | 5 |
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.