All Comfort Hospice Care, Inc.
A hospice in Simi Valley, California 93063
5924 East Lost Angeles Avenue, Suite W, Simi Valley, California 93063. (818) 307-4892.
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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
- 9of 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?
7 deficiencies cited in the last three years
The middle of the 140 hospices serving ZIP code 93063 had 5.
The last inspection on record was on Mar 6, 2025: 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
7 deficiencies in 1 month of the last 36. Last cited Mar 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.
Mar 6, 2025: reaccreditation inspection by The Joint Commission7 deficiencies
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Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(1))
“Observed in Emergency Management Session. On review of the organization’s emergency plan the Hazardous vulnerability assessment did not address specific areas of risk for their area and cover all areas of risk. Examples include no emerging infections identified, no natural hazards such as flooding, and no technology hazards. This finding was reviewed with the Administrator Designee.”
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Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(2))
The inspectors’ words, 124 words
“Observed in Emergency Management Session. The organization could not evaluate and prioritize findings from an HVA, because that had not conducted a comprehensive HVA covering all area of potential vulnerability. This was reviewed with the Administrator Designee Observed in Emergency Management Session. The organization conducted a HVA but it did cover all areas of risk so that priority of highest likelihood for occurrence could be put in their Emergency plan. On the agency’s HVA plan the each area was not calculated on the plan to put in a priority in the Emergency plan. While the actual Emergency plan covered COVID, terrorism, fires and earthquakes, this was not based on the prioritized risks from the HVA. This finding was reviewed and discussed with Administrator Designee.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. On 1 of 2 bereavement records reviewed, the organization did not complete a bereavement risk assessment per the organizations policy. Agency Bereavement policy (2-010.1) states that a bereavement risk assessment will be completed by the social worker at time of admission. On RRBR #2, it was noted that there was no bereavement assessment completed on admission. This finding was reviewed with Hospice leadership.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 117 words
“Observed in Record Review. On 4 of 10 active patient records reviewed, the plan of care did not reflect the scope and frequency of services for the patient. On RRHV #1, RRHV #2 and RRHV #3, it was noted that the chaplain had made telephone visits with the caregiver, two phone call visits had been made and the frequency of these visits were not reflected on the plan of care. On RRNHV #4, it was noted that the chaplain has been making monthly telephone visits to the patient since admission 10 months ago and the visit frequency is not reflected on the POC.This finding was reviewed with hospice leadership. This finding was reviewed with the hospice leadership.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 101 words
“Observed in Record Review. In 7 of 10 active patient records reviewed, the organization failed to ensure the plan of care was updated based on the patient’s reassessment and progress toward goals. In RRNHV #1, RRNHV #2, RRNHV #3, RRNHV #4, RRNHV #5, RRNHV #6 and RRNHV #7, the plans of care had not been updated to reflect the current assessment, achieving goals that had been achieved. For example, every chart had teaching goals that were unaltered for IDG to IDG since admission 9-11 months ago with no change or update to their progress. This finding was reviewed with hospice leadership.”
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Counseling services (42 CFR 418.64(d)(1)(iii))
“Observed in Record Review. On 1 of 2 bereaved records reviewed, the organization did not reflect the needs of the bereaved. On RRBR #2, the organization did not reflect the needs of the bereaved because there was no bereaved person identified on the assessment. This finding was reviewed with Hospice Leadership.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. On 3 of 3 HR records reviewed of employees hired over 1 year ago, the organization did not complete an yearly competency assessment of the employee. Agency HR Competency Assessment policy (1.008) states that a competency assessment using the hire skills list will be done every year. On HR #1 and HR #6 and Volunteer #1, it was noted that the employee did not have a yearly competency documented for 2023 and 2022. This finding was reviewed with the Administrator Designee.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 6, 2025 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 10, 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?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 10.6 nurse care minutes per routine home care day, 10.1% of skilled nursing minutes at weekends and a visit near death for 100% 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 | 10.6 min |
| Skilled nursing minutes at weekends | 10.1% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- CMS’s ownership file has no owners listed for this hospice.
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: 9 of 10 (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 | 9 of 10 |
How does it compare nearby?
- Of the 140 hospices CMS’s data show serving patients in ZIP code 93063, 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 |
|---|---|
| Charter Hospice, LLC | Not given |
| Innerjoy Hospice Care, Inc. | 19 |
| Good Heart Hospice & Palliative Care Simi Valley | 11 |
| Aasta Hospice | 9 |
| United Hearts Hospice Health Services | 6 |
| Americus Hospice, Inc. | 10 |
| Perpetual Care Hospice, Inc. | 6 |
| 24/7 Team Care Hospice | 2 |
| Faithful Hospice Care, Inc. | 11 |
| Haven Hospice Care, Inc. | Not given |
| Ohana Hospice and Palliative Care, Inc. | 3 |
| All Comfort Hospice Care, Inc. This hospice | 7 |
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).
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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.