Hygieia Hospice Care
A hospice in Lakewood, California 90715
11401 Carson St, Suite M, Lakewood, California 90715.
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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.
- 11 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
11 deficiencies cited in the last three years
The middle of the 75 hospices serving ZIP code 90715 had 6.
The last inspection on record was on Sep 11, 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
11 deficiencies in 1 month of the last 36. Last cited Sep 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.
Sep 11, 2025: reaccreditation inspection by The Joint Commission11 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 2 discharge records, the organization did not involve the patient and caregivers in making decisions about their care, treatment, or services in a timely manner. Example: In RRDC#2, the Notice of Medicare Noncoverage was not presented to patient at least 2 days prior to discharge. Instead, the notice was presented and signed on the date of discharge. This was confirmed by the DPCS.”
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 2 of 7 records, the hospice’s interdisciplinary group, in consultation with the patient’s attending physician did not complete the comprehensive assessment no later than five calendar days after the election of hospice care. Example in RRHV#1, the initial SW assessment was not completed until 81 days after the election of hospice care. In RRBR#1, the initial psychosocial assessment was completed 11 days after admission. This was confirmed with the DPCS.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 169 words
“Observed in Tracer Visit. In 2 of 2 home visits, medication reconciliation was not being done per policy. Examples: In RRHV#1 during the medication reconciliation, the nurse did not inquire about the duplicate Tylenol medications in the patient’s medication bin. One was noted in the Hospice prescribed bubble packet and second was in an OTC bottle. When asked, the caregiver informed the surveyor that the patient has been taking Tylenol 1 tablet twice a day from the OTC bottle for years. This was not on the patient’s medication profile. The Comfort kit meds in RRHV#1 were not currently in the home due to the nurse discovering they were all expired during her last visit. In RRHV#2, the comfort kit medication Zofran expired 8/31/25. In RRHV#2, the nurse performing the reconciliation did not use a medication list within the EMR or the patient’s home for comparison. Instead the nurse only visualized the bottles and Med packs provided by the caregiver. This was confirmed by the nurse making the home visit.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Tracer Visit. In 2 out of 9 charts, the initial bereavement assessment of the needs of the patient’s family and other individuals was not conducted per policy. Example: In RRHV#1, the initial bereavement assessment was not completed. In RRBR#1, the initial BR assessment was completed 11 days after admission. This was confirmed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 7 out of 10 records, the written plan of care did not include psychosocial goals based on the patient’s identified needs. Examples: In RRNHV#1, RRNHV#2, RRNHV#4, RRNHV#5, RRNHV#6, RRNHV#7, and RRHV#1, the plan of care did not include psychosocial goals. This was confirmed by the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Tracer Visit. In 5 out of 5 records, the plan of care did not include all services needed for the palliation and management of the terminal illness and related conditions. Examples: In RRHV#1, RRHV#2. RRHV#3, RRNHV#1, and RRNHV#2 the plans of care did not include the patient’s oxygen orders. In RRNHV#1, the POC did not include the patient’s CPAP that was ordered for PRN use. This was confirmed by the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Tracer Visit. In 1 out of 7 records, the plan of care included prn visits without an indication as to when the PRN visit would be initiated. Example In RRHV#1, the MSW and CH orders included prn visits without an indication as to when the PRN would be initiated. This was confirmed with the DPCS.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 142 words
“Observed in Record Review. In 5 out of 5 records, the organization did not provide the patient with care, treatment, or services according to the patient’s individualized plan of care. Examples: In RRHV#1 during weeks 2 and 3 of benefit period 10, the RN made 1 extra visit per week. There was 1 missed monthly SW visit during the last month of benefit period 10. In RRHV#2, there was 8 missed aide visits (2 during week 1 of benefit period 13 and 1 every week during weeks 2- 7 of benefit period 13. In RRHV#3, there was 1 missed aide visit during week 1 of benefit period 2. In RRNHV#1, there were 2 missed aide visits during week 1 of benefit period 1. In RRHV#2, there was 1 missed aide visit in week 1 of admission. This was confirmed by the DPCS.”
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Content (42 CFR 418.104(a)(7))
“Observed in Record Review. In 1 of 7 records, the medication list in the patient record was inaccurate. Example: In RRNHV#1 the Oxygen was listed as 2-5 LPM prn. Per the MD IDG notes, the O2 was to be continuous @ 5 LPM. This was confirmed by the DPCS.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Record Review. In 1 of 2 live discharge records, the hospice did not provide the receiving facility of which the patient was transferred with a copy of the hospice discharge summary and, if requested, a copy of the patient’s clinical record. Example: In RRDC#1, a transfer summary was not sent to the receiving facility. This was confirmed with the DPCS.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Observed in Record Review. In of 1 of 2 records, the hospice did not provide the patient’s attending physician with a copy of the hospice discharge summary and, if requested, a copy of the patient’s clinical record. Example: In RRDC#1, the discharge summary was not sent to the attending MD after discharge. This was verified with the DPCS.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 11, 2025 | Reaccreditation inspection by The Joint Commission | 11 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 21, 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): 12.9 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 91.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 91% at home, 9% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.9 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 91.3% of patients who died |
Who owns it?
- 4 owners or officers are people: David Marciano Zalopany (owns 5% or more directly, 100%); David Marciano Zalopany (corporate officer, 100%); David Marciano Zalopany (corporate director, 100%); David Marciano Zalopany (managing employee (on the payroll), 100%).
- 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’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 59.46% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 27.8% had visits from a nurse or social worker on at least 2 of their last 3 days (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 | 10 of 10 |
How does it compare nearby?
- Of the 75 hospices CMS’s data show serving patients in ZIP code 90715, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 11.
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 |
|---|---|
| Hygieia Hospice Care This hospice | 11 |
| Bristol Hospice- Greater Los Angeles | 8 |
| Kaiser Foundation Hospital Hospice Program | 3 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Hospice of Presbyterian | 8 |
| Memorialcare Hospice and Palliative Services | 9 |
| Torrance Memorial Hospice | 4 |
| Mission Hospice | 15 |
| Vitas Healthcare Corporation of California | 23 |
| Accentcare Hospice & Palliative Care of California- Los Angeles | 6 |
| Grace Hospice, Inc. | 10 |
| 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.