Narinas Hospice Services
A hospice in Encino, California 91316
17000 Ventura Blvd. Suite 200a, Encino, California 91316. (310) 328-8277.
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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 124 hospices serving ZIP code 91316 had 5.
The last inspection on record was on Jun 18, 2025: 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 Jun 2025. 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.
Jun 18, 2025: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Notice of rights and responsibilities (42 CFR 418.52(a)(1))
“Upon observation, there was no evidence that during the initial assessment visit in advance of furnishing care, the hospice provided the patient and/or family with verbal (meaning spoken) and written notice of the Patient’s Rights and Responsibilities in a language and manner that the patient understands. Patient#1: During home visit it was confirmed that patient primary language is Russian. Patient did sign her consents. However, there is no evidence of patient rights and responsibilities being provided to patient in her primary language.”
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Content of comprehensive assessment (42 CFR 418.54(c))
“Upon patient record review 1 of 14 (Patient #8) 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#8: The record indicates SC entered a note on 4/6/25 stating spiritual services were declined. There is no evidence of an initial spiritual assessment being completed.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 135 words
“Upon patient record review, 3 of 14 (Patient #1,#5,#9) 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: The record indicates the initial bereavement assessment was completed on 7/28/24. However, there is no primary bereaved identified. Patient#5: The record indicates the initial bereavement assessment was completed on 7/29/24. However, there is no primary bereaved identified. Patient#9: The record indicates the initial bereavement assessment was completed on 2/28/25. However, there is no primary bereaved identified.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 94 words
“Upon patient record review, 1 of 14 (Patient #2) 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 measurable outcomes are anticipated from implementing and coordinating the plan of care for each patient by using data elements identified by the hospice and is used as part of the Hospice’s QAPI program. Patient#2: The record indicates patient was admitted with terminal illness of cerebral infarction. However, there is no evidence of problems, goals, or interventions related to neuro.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 107 words
“Upon patient record review, 2 of 14 (Patient #2,#3) 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:The record indicates a physician order was placed effective on 1/31/25 stating “fluid thickener”. There is no evidence of instructions for preparing the liquids to be nectar thick or honey thick. Corrected on site. Patient#3: The record indicates a physician order was placed effective on 2/18/25 stating “fluid thickener”. There is no evidence of instructions for preparing the liquids to be nectar thick or honey thick. Corrected on site.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 190 words
“Upon patient record review, 2 of 14 (Patient #2,#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 Patient#2: The record indicates the aide plan of care includes feeding assistance and encourage fluids as tolerated. However, there is no evidence of the specified diet of puree with thickened liquids on aide plan of care. Corrected on site. Patient#10: The record indicates physician order on 1/27/25 stating patient ordered mechanical soft NAS diet. The aide POC states regular NAS under diet. Corrected on site.”
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Content (42 CFR 418.104(a)(3))
“Upon patient client record review, 1 of 14 (Patient #1) did not have evidence that each patient record contains responses to medications, symptom management, treatments, and services. Patient#1: The record indicates that during RN visit on 6/12/25 the nurse administered nitroglycerin as ordered. However, there is no documentation in the visit as to why the nitroglycerin was given or if the patient condition improved after the medication was given.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 18, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 24, 2022.
- 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): 65% at home, 35% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 6 owners or officers are people: Mariam Aghababyan (owns 5% or more directly, 100%); Mariam Aghababyan (corporate officer, 100%); Mariam Aghababyan (corporate director, 100%); Mariam Aghababyan (runs it (operational or managerial control), 100%); Nabil Salloum Feghali (managing employee (on the payroll), 0%); Karine Sargsyan (managing employee (on the payroll), 0%).
- 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.
- 93.18% 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 124 hospices CMS’s data show serving patients in ZIP code 91316, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; 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 |
|---|---|
| Vnacare | 8 |
| Matrix Hospice Inc. | 1 |
| Comfort Hospice Care | 2 |
| Art of Hospice, Inc. | 0 |
| Vivo Hospice, Inc. | 2 |
| Encino Valley Hospice, Inc. | 2 |
| Personal Touch Hospice Care, Inc. | 18 |
| Best Level Hospice, Inc. | 8 |
| Narinas Hospice Services This hospice | 7 |
| Medistar Hospice | 4 |
| Vitas Healthcare Corporation of California | 3 |
| Silverado Hospice-Los Angeles | 15 |
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.