United Angels Hospice Inc.
A hospice in West Covina, California 91790
1619 W Garvey Ave N, Suite 203, West Covina, California 91790. (626) 538-1577.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 29 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?
29 deficiencies cited in the last three years
The middle of the 149 hospices serving ZIP code 91790 had 6.
The last inspection on record was on Sep 9, 2025: a follow-up inspection by the Accreditation Commission for Health Care.
2 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
29 deficiencies in 2 months of the last 36. Last cited Sep 2025. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Sep 9, 2025: follow-up inspection by the Accreditation Commission for Health Care3 deficiencies
-
Content (42 CFR 418.104(a)(2))
“Upon patient client record review, unable to abate this deficiency as there has been no admissions since previous survey.”
-
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 does not have prior patient records to ensure confidentiality maintained.”
-
Retention of records (42 CFR 418.104(d))
“Upon observation, there was not evidence that all patient records are retained for a minimum of six years from the date of the most recent discharge or the death of the patient, unless state law stipulates a longer period of time.”
Jul 24, 2025: reaccreditation inspection by the Accreditation Commission for Health Care26 deficiencies
-
IDG, care planning, coordination of services (42 CFR 418.56)
“Condition of Participation: Interdisciplinary Group, Care Planning, and Coordination of Services.”
-
Clinical records (42 CFR 418.104)
“Condition of Participation: Clinical Records.”
-
Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(1))
“Upon observation, there was no evidence the Emergency Preparedness plan: • Is based on and includes a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach • Includes strategies for addressing emergency events identified by the risk assessment, including the management of the consequences of power failures, natural disasters, and other emergencies that would affect the hospice’s ability to provide care”
-
Names and Contact Information (42 CFR 418.113(c)(1))
“Upon observation, there was no evidence the Emergency Plan communication plan includes all of the following: • Names and contact information for the following: • Hospice employees • Entities providing services under arrangement • Patients’ physicians • Other hospices”
-
EP Testing Requirements (42 CFR 418.113(d)(2))
“Upon observation, there was no evidence the agency has conducted exercises to test the emergency plan every two years.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 118 words
“Upon patient record review, 2 of 6 (Patients #1,#2) 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 1: The medication profile contained diclofenac and Nitro Bid topical medication with no area defined for administration. Corrected on site with clarification order received and instructions added to the medication profile. Patient 2: The medication profile contained oxygen without a frequency of as needed or continuous.”
-
Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 109 words
“Upon patient record review, 1 of 6 (Patient #2) did not have evidence in the patient record that the comprehensive assessment is updated including and by: • The hospice interdisciplinary group (in collaboration with the individual’s attending physician, if any) • Changes that have taken place since the initial assessment • Information on the patient’s progress toward desired outcomes • Reassessment of the patient’s response to care • The assessment update must be accomplished as frequently as the condition of the patient requires, but no less frequently than every 15 days Patient 2: There was no evidence of an RN assessment from 10/25/24 to 11/25/24 and 12/26/24 to 1/17/25.”
-
Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 204 words
“Upon patient record review, 4 of 6 (Patients #2,#3,#4,#6) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient 2: The medical record contained an order for social work visits every recert and as needed. There was no quantity of PRN visits outlined. Patient 3,6: The medical record contained an order for social work visits every recert and as needed, and spiritual care as needed. There was no evidence of scheduled spiritual care and there was no quantity of PRN visits outlined. Patient 4: The medical record contained an order for social work visits as needed. There was no evidence of a scheduled need and there was no quantity of PRN visits outlined. The record also contained an order for aide visits twice weekly and one PRN.”
-
Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 2 of 6 (Patients #1,#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 medications and treatments. Patient 1: The medical record contained orders for diclofenac and Nitro Bid topical medication with no area defined for administration. Corrected on site with clarification order received. Patient 2: The medical record contained an order for oxygen with no frequency of as needed or continuous.”
-
Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 207 words
“Upon patient record review, 4 of 6 (Patients #1,#2,#3,#6) 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 equipment and supply needs. Patient 1: The medical record contained nursing documentation upon admission identifying patient use of a hospital bed, air mattress, walker, wheelchair, shower chair, Hoyer lift, and suction machine. Upon home visit, the patient also had half rails on the bed. There was no evidence of orders for the DME included in the plan of care. Corrected on site with orders received to update the plan of care. Patient 2: The medical record contained nursing documentation upon admission identifying patient use of a cane, walker, and nebulizer. There was no evidence of orders for the DME included in the plan of care. Patient 3: The medical record contained nursing documentation upon admission identifying patient use of a cane and walker. There was no evidence of orders for the DME included in the plan of care. Patient 6: The medical record contained nursing documentation upon admission identifying patient use of a walker and shower chair. There was no evidence of orders for the DME included in the plan of care.”
-
Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 124 words
“Upon client record review, 4 of 6 (Patient #2,3,4,6) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient 2: There was no evidence of social work and spiritual care involvement for IDG 1/21/25. Patient 3: There was no evidence of RN, social work and spiritual care involvement for IDG 2/4/25; social work and spiritual care involvement 1/21/25; and spiritual care involvement 1/7/25. Patient 4: There was no evidence of social work and spiritual care involvement for IDG 2/18/25. Patient 6: There was no evidence of social work and spiritual care involvement for IDG 1/21/25 and 2/4/25.”
-
Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 6 (Patient #3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 3: The medical record contained an order for RN visits once every two weeks and an order stating patient declined LVN visits. The patient was receiving weekly LVN visits without an order.”
-
Licensed professional services (42 CFR 418.62(c))
“Upon observation, there was no evidence licensed professionals participate in the hospice’s QAPI program. Agency was unable to provide evidence of QAPI meetings conducted with attendance records.”
-
In-service training (42 CFR 418.76(d)(1))
“Upon observation, there was no evidence in-service training for Hospice Aides are supervised by a Registered Nurse.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 108 words
“Upon patient record review 2 of 6 (Patients #1,#4) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient 1: The aide care plan contained bathing task of a shower and 2 person transfers. The aide performed a bed bath 7/7/25, 7/9/25, 7/21/25, and 7/23/25; and transfer with a Hoyer lift 7/14/25 without evidence of instructions from the hospice RN. Patient 4: The aide care plan contained bathing task of a shower. The aide performed a bed bath 2/13/25 without evidence of instructions from the hospice RN.”
-
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.”
-
Training (42 CFR 418.100(g)(1))
“Upon personnel record review, 1 of 10 (Personnel #7) did not have evidence the hospice employees and contract employees have received orientation on the hospice philosophy.”
-
Training (42 CFR 418.100(g)(2))
“Upon personnel record review, 1 of 10 (Personnel #7) did not have evidence that the hospice employees have received orientation on their specific job requirements.”
-
Initial certification of terminal illness (42 CFR 418.102(b))
“Upon patient record review, 1 of 6ectancy is 6 months or less if the illness runs its normal course. The physician must consider the following when making this determination: • The primary terminal condition • Related diagnosis • Current subjective and objective medical findings • Current medication and treatment orders • Information about the medical management of any of the patient’s conditions unrelated to the terminal illness Patient 4: The written certification of terminal illness was signed 2/13/25 with admission 2/10/25. There was no evidence of a verbal authorization received.”
-
Content (42 CFR 418.104(a)(2))
The inspectors’ words, 149 words
“Upon patient client record review, 5 of 6 (Patients #1,#2,#3,#4,#5) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 1: There was no evidence of documentation to identify if the patient or responsible party elected to receive the Notification of Hospice Non-Covered items. Patients 2,3: The election form identified that the patient elected to receive the Notification of Hospice Non-Covered Items. There was no evidence the hospice provided the BFCC-QIO information to the patient or provided the notification on request. Patient 4: There was no evidence the patient received information regarding their right to receive the Notification of Hospice Non-Covered Items. Patient 5: There was no evidence of documentation to identify if the patient or responsible party elected to receive the Notification of Hospice Non-Covered items and there was no evidence the hospice provided the BFCC-QIO information to the patient.”
-
Content (42 CFR 418.104(a)(6))
“Upon patient client record review, 1 of 6 (Patient #1) did not have evidence that each patient record contains Advance Directives. Patient 1: The plan of care identified the patient as DNR. The POLST in the record was incomplete and contained a signature but the patient identify portion of the form was empty.”
-
Authentication (42 CFR 418.104(b))
“Upon patient client record review, 2 of 6 (Patients #1,#4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 1,4: The medical record contained a signed revocation form with uploaded consents. The revocation did not identify a date of signature or effectiveness.”
-
Retention of records (42 CFR 418.104(d))
“Upon observation and administrator interview, the agency reported the license is now under its third owners. The agency was unable to provide any patient records from the previous owners.”
-
Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(C))
“Upon client record review, 1 of 6 (Patient #5) did not have evidence that the written policies and procedures for managing controlled drugs was provided and discussed. Patient 5: There was no evidence the agency provided written policies and procedures for managing controlled drugs. The patient had orders 12/22/24 for haloperidol and morphine.”
-
Coordination of services (42 CFR 418.112(e)(3))
“Upon patient record review, 1 of 6 (Patient #1) did not have evidence that the hospice provided the following information: • Physician certification and recertification of the terminal illness specific to each patient • Names and contact information for hospice personnel involved in hospice care of each patient Patient 1: Upon home visit observation, there was no evidence of names for hospice personnel involved with care of the patient and physician certification and recertification of the terminal illness.”
-
Multiple locations (42 CFR 418.116(a))
The inspectors’ words, 100 words
“Upon observation, there was no evidence the organizational chart matches the hospice’s information submitted to CMS and/or State licensing agencies for ownership and management personnel. The agency provided a notification of change in administrator, DPCS, administrator designee, DPCS designee, and medical director to the California Department of Public Health on 6/22/25. Hire dates for the administrator, administrator designee, DPCS and DPCS designee were 12/15/24, and the medical director was 3/15/25. The agency also stated that there was a change in ownership in August of 2024, however they could not produce communication to the appropriate authorities regarding the change in ownership.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 9, 2025 | Follow-up inspection by the Accreditation Commission for Health Care | 3 deficiencies cited |
| Jul 24, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 26 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 16, 2022.
- CMS doesn’t list its type of ownership.
- 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?
- 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 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 149 hospices CMS’s data show serving patients in ZIP code 91790, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 29.
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 |
|---|---|
| Physician’s Choice Hospice LLC | 8 |
| Blue Spirit Hospice, Inc. | Not given |
| Lighthouse Hospice & Palliative Care Services | 0 |
| D’ Alexandria Hospice Inc. | Not given |
| Madison Hospice, Inc. | 3 |
| United Angels Hospice Inc. This hospice | 29 |
| Caring Hands Hospice Care, Inc. | Not given |
| Kaiser Foundation Hospital Hospice Program | 3 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Vnacare | 9 |
| Vitas Healthcare Corp | 18 |
| Roze Room Hospice | 19 |
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
-
Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
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).
-
Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Nov 5, 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 Nov 5, 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.