Roze Room Healthcare
A hospice in San Bernardino, California 92408
621 E Carnegie Dr, Suite 190, San Bernardino, California 92408. (877) 783-0072.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 7of 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?
6 deficiencies cited in the last three years
The middle of the 64 hospices serving ZIP code 92408 had 6.5.
The last inspection on record was on Aug 15, 2024: a reaccreditation inspection by The Joint Commission.
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
6 deficiencies in 1 month of the last 36. Last cited Aug 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.
Aug 15, 2024: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Record Review. In 5 of 14 patient records reviewed, During RR#3-#7 it was noted lack of summaries at the IDG in August 2024 by the MSW and SC of the care provided to the patients during their initial visits. This was discussed with the organization leadership.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 113 words
“Observed in Record Review. In 2 of 14 patient records reviewed, During HV#3 record review it was noted the patient was prescribed Pradaxa PO daily. The POC lacked instruction on S/S bleeding and bleeding precautions. During RR#1 it was noted the patient was prescribed Eliquis PO daily. The POC lacked instruction on S/S bleeding and bleeding precautions. This was discussed with the organization leadership. Observed in Record Review. In 2 of 14 patient records reviewed, During RR#2 it was noted an incomplete order that stated G-tube site care daily. During RR#6 it was noted lack of instruction on the POC for port-a cath care and instruction. This was discussed with the organization leadership.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 1 of 3 home visits conducted, During HV#3 it was noted the SN did not change her gloves, disinfect her hands and don a clean pair of gloves after removing the dressing before performing wound care to the 4th toe left foot amputation site.”
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Education (42 CFR 418.60(c))
“Observed in HR File Review. In 1 of 10 HR files reviewed, It was noted HR#10 lacked orientation on infection control education. This was discussed with the organization leaders.”
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Training (42 CFR 418.100(g)(1))
“Observed in HR File Review. In 1 of 10 HR files reviewed, It was noted in HR#10 lack of orientation on hospice philosophy. This was discussed with the organization leaders.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Document Review. In 1 of 4 contracts reviewed, During contract review it was noted the therapy contract for PT, OT, ST and RD contained the stipulation of obtaining criminal background for licensed professional staff however it lacked the stipulation that other employees who have access to patient records have a criminal background check performed. This was discussed with the organization leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 15, 2024 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 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?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 13.9 nurse care minutes per routine home care day, 13.5% of skilled nursing minutes at weekends and a visit near death for 81% of patients who died.
- 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.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.9 min |
| Skilled nursing minutes at weekends | 13.5% |
| Visits near death | 81.0% of patients who died |
Who owns it?
- 11 owners or officers are people: Lena Michelle Beker (owns 5% or more directly, 33.34%); Lena Michelle Beker (corporate officer, 33.34%); Lena Michelle Beker (corporate director, 33.34%); Raisa Adler (owns 5% or more directly, 33.33%); Raisa Adler (corporate officer, 33.33%); Raisa Adler (corporate director, 33.33%); Semion A Beker (owns 5% or more directly, 33.33%); Semion A Beker (corporate officer, 33.33%); Semion A Beker (corporate director, 33.33%); Ana L Cartmel (managing employee (under contract)); Josefa Azcueta (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.
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: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 31% 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 | 7 of 10 |
How does it compare nearby?
- Of the 64 hospices CMS’s data show serving patients in ZIP code 92408, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 6.
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 |
|---|---|
| Ascend Hospice | Not given |
| Remita Health | Not given |
| Blessed Hope Hospice, Inc. | 18 |
| Del Rosa Hospice II | 7 |
| Ally Hospice | 0 |
| Roze Room Healthcare This hospice | 6 |
| All Lives Matter Hospice | 15 |
| Aurora Spring Hospice Care, Inc. | 11 |
| Heavenly Angel Hospice Inc. | 1 |
| 7 Star Hospice Care Inc. | 10 |
| Victory Care Hospice | 1 |
| Beta Hospice Care Inc. | 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.