Hearth Record

Holding Hands Hospice

A hospice in Los Angeles, California 90068

3169 Barbara Ct, Suite F, Los Angeles, California 90068. (323) 231-4040.

CMS’s own record, on Care Compare

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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.

The last 24 months 4 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. Every month

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?

4 deficiencies cited in the last three years

The middle of the 78 hospices serving ZIP code 90068 had 6.

The last inspection on record was on May 22, 2025: an initial inspection by the Accreditation Commission for Health Care.

Source:

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

4 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

4 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

May 22, 2025: initial inspection by the Accreditation Commission for Health Care4 deficiencies
  • Approach to service delivery (42 CFR 418.56(a)(1))

    The inspectors’ words, 100 words

    “Upon patient record review, 1 of 14 (Patient #10) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family’s needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient #10 Start of care 04/19/24, passed at home 04/21/24. Initial nursing comprehensive assessment notes patient is Imminently dying. There is not further evidence of any nursing visit, not even a death visit/note. The Discharge summary states, “TOD 12:11am”.”

    Rule L0540. Standard-level.

  • Review of the plan of care (42 CFR 418.56(d))

    The inspectors’ words, 219 words

    “Upon patient record review, 5 of 14 (Patient #5,6,9,10,13) 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 #5 No SCP signature for the following IDG notes:09/26/23, 10/10/23, 10/24/23. The discipline was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation. Patient #6 No SCP signature for the following IDG notes: 11/30/23. The discipline was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation. Patient #9 No RN signature for the following IDG notes: 09/03/24, 09/10/24, 09/24/24. The discipline was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation. Patient #10 No RN signature for the following IDG notes: 04/23/24. The discipline was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation. Patient #13 No SCP signature for the following IDG notes: 02/22/24, 03/07/24. The discipline was actively involved with the patient therefore there was no evidence of collaboration since there was no signature to validate participation.”

    Rule L0552. Standard-level.

  • Counseling services (42 CFR 418.64(d)(1))

    The inspectors’ words, 170 words

    “Upon patient record review, 2 of 14 (Patient #6,13) 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. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • 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 #6 passed 12/17/23. A “Condolence call” was completed by Bereavement Coordinator on 12/18/23 with a note stating, emotional support provided and family made aware of “Spiritual care service available upon request”. No evidence of a Bereavement Plan of Care. No evidence of mailings. Patient # 13 passed 02/29/24. Discharge summary per RN states, “Bereavement care offered for 13 months”. No evidence of any Bereavement care provided.”

    Rule L0596. Standard-level.

  • Competency evaluation (42 CFR 418.76(c))

    The inspectors’ words, 106 words

    “Upon personnel record review, 1 of 12 (Personnel #6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Appropriate and safe techniques in personal hygiene and grooming that include-- ·(B) Sponge bath The other subject areas in this section may be evaluated through written examination, oral examination or after observation of a Hospice Aide with a patient. Personnel 6: The aide competency did not contain evidence of the aide performing a sponge bath.”

    Rule L0615. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
May 22, 2025Initial inspection by the Accreditation Commission for Health Care4 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Sep 9, 2022.
  • CMS doesn’t list its type of ownership.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Who owns it?

  • 8 owners or officers are people: Igor Gary Shlifer (managing employee (under contract), 100%); Svetlana Piliposyan (managing employee (on the payroll), 100%); Andranik Piliposyan (owns 5% or more directly, 100%); Misak Mike Voskanyan (managing employee (on the payroll), 50%); Lida Fatemi (managing employee (under contract)); Andranik Piliposyan (corporate officer); Andranik Piliposyan (corporate director); Andranik Piliposyan (managing employee (on the payroll)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

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.
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 78 hospices CMS’s data show serving patients in ZIP code 90068, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 4.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 8, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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