Transition Care Telemetry, Inc.
A hospice in San Juan Capistrano, California 92675
30320 Rancho Viejo Rd Suite 12, San Juan Capistrano, California 92675. (888) 757-2018.
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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 72 hospices serving ZIP code 92675 had 9.
The last inspection on record was on Oct 11, 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 Oct 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.
Oct 11, 2024: reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 1 of 14 (Patient #1) 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 had spiritual screen by admission RN on 6/1/24. SCP had made a note on 6/2 that the caregiver did not want to meet until 6/8, however; there was not a spiritual comprehensive assessment performed by the SCP until 6/11/24.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 237 words
“Upon patient record review, 4 of 14 (Patient #9,10,11,13) 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. • 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 #9 Passed on 06/08/24 no evidence of a Bereavement Plan of Care. There was evidence of Bereavement letters mailed on 07/02/24 and 09/03/24, per policy. Patient #10 Passed on 06/09/24 no evidence of a Bereavement Plan of Care. There was evidence of Bereavement letters mailed 7/9/24 and 9/13/24. Patient #11 Passed 10/09/23 no evidence of a Bereavement Plan of Care. However; in-person visits documented for 10/11/23, 10/27/23 where note states, “will visit every other week”, 11/08/23, 12/08/23 and 01/26/24. No further notes for visits of calls, no documentation of reason for discontinuing BC. Mailings sent per agency policy until 07/02/24 with no further mailings noted. Patient #13 Passed on 04/13/23 no evidence of a Bereavement Plan of Care. A Bereavement call was made by SCP 4/13, the note stated, “Will continue to check on wife”. No evidence of any further phone or in person contact. However; evidence of Bereavement letters mailed per agency policy.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 136 words
“Upon patient record review, 3 of 14 (Patient #1,9,10) 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 Patients 1,9,10 had assigned visit frequency of “2-3 visits per week”.”
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 136 words
“Upon patient client record review, 3 of 14 (Patient #7, 8, 13) did not evidence that each patient record contains physician orders. Patients 7 and 8 There was no documented MD order to discharge patient as no longer medically eligible. Patient 13 admitted as continuous care level of care 4/12/23 and was having pain out of control. The admitting RN made multiple calls to MD and noted the calls and orders in her narrative continuous care notes. Symptoms managed, patient comfortable over several hours. She then spoke with MD and obtained order to change level of care to Routine Home Care. This was all documented in continuous care narrative notes, however no evidence of actual MD order for level of care change to Routine Home Care in chart. This patient passed peacefully early morning on 4/13/23.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon client record review, 3 of 14 (Patient #6,7,8) did not have evidence that the discharge summary includes all required information. Patients 6,7,8 Summaries were last visit note, and did not include all required information.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 11, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 11, 2021.
- CMS doesn’t list its type of ownership.
- 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?
- 9 owners or officers are people: Pamela S Mangen (owns 5% or more directly, 55%); Pamela S Mangen (managing employee (on the payroll), 55%); Michael Flammer (owns 5% or more directly, 32%); Michael Flammer (corporate officer, 32%); Brian Flammer (owns 5% or more directly, 13%); Brian Flammer (corporate officer, 13%); Graziella Starr (corporate director, 0%); Graziella Starr (managing employee (on the payroll), 0%); Mohan Mallam (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.
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 72 hospices CMS’s data show serving patients in ZIP code 92675, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; 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 |
|---|---|
| West Coast Healthcare, LLC | 20 |
| Cabrillo Hospice | 23 |
| Transition Care Telemetry, Inc. This hospice | 5 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Memorialcare Hospice and Palliative Services | 9 |
| Vitas Healthcare Corporation of California | 3 |
| Accentcare Hospice & Palliative Care of California | 3 |
| Pec Hospice | 20 |
| Providence at Home With Compassus Hospice Care Orange County | 5 |
| Bristol Hospice-Orange County | 8 |
| Silverado Hospice Inc. | 16 |
| Nurses Plus Hospice | 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.