Pacific Crest Hospice of Ventura County LLC
A hospice in Ventura, California 93001
2300 Alessandro Drive, Suite 120, Ventura, California 93001. (760) 808-2646.
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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.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 43 hospices serving ZIP code 93001 had 4.5.
The last inspection on record was on Jan 23, 2026: 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
8 deficiencies in 1 month of the last 36. Last cited Jan 2026. 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.
Jan 23, 2026: reaccreditation inspection by The Joint Commission8 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 168 words
“Observed in Record Review. In 7 out 10 records, the hospice did not complete the comprehensive assessment no later than five calendar days after the election of hospice care. Examples: In RRHV#1, the initial bereavement assessment was completed 7 days after the SOC. The MSW initial assessment was completed 20 days after the SOC. In RRHV#2, the initial bereavement assessment was completed 76 days after the SOC. The MSW initial assessment was completed 15 days after the SOC. In RRHV#3, the Chaplain initial assessment was completed 6 days after the SOC. In RRNHV#1, the Chaplain and MSW initial assessments were completed 8 days after the SOC. In RRNHV#5, the initial bereavement assessment was completed 8 days after the SOC. The initial Chaplain and MSW assessments were completed 7 days after the SOC. In RRNHV#6, the initial Chaplain assessment was completed 7 days after the SOC. In RRNHV#7, the initial Chaplain assessment was completed 9 days after the SOC. This was confirmed by the Executive Director and the DCPS.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 4 out of 12 records, the initial bereavement assessment was not completed. Examples: In RRNHV#1, RRNHV#4, RRNHV#7, and RRBR#1, there was no documentation indicating the initial bereavement assessment had been completed. This was confirmed by the Executive Director.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 184 words
“Observed in Tracer Visit. In 7 out 10 records, the HCO did not create plans of care for each patient that reflected measurable goals based on problems identified in comprehensive assessments. Examples in RRHV#1’s plan of care for benefit period #3 included: (1) Patient exhibits signs and symptom reduction or relief (2) A Chaplin plan of care will be established (3) Patient will have safety needs met. RRHV#2 benefit period 2 examples included: (1) Chaplain frequency to change to PRN visits only. (2) Patient will be free of pain for the next 2 weeks. (3) Hospice comfort kit to be provided to patient. RRHV#3 benefit period 1 examples included: (1) Pain will be controlled. (2) MSW POC will be established. RRNHV#1 examples included: (1) Pain will be managed at an acceptable level for the patient. (2) Anxiety/agitation is minimized/controlled. An example in RRNHV#2 included: Patient/Caregiver will feel relief from spiritual concerns. An example in RRNHV#6 included: Patient/caregiver will have improved coping strategies. An example in RRNHV#7 included: Patient/caregiver has knowledge of/access to appropriate community resources. This was confirmed by the DCPS and Executive Director.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 164 words
“Observed in Tracer Visit. In 4 out of 10 records, the plan of care did not include interventions to manage patient symptoms based on comprehensive assessments. Examples: In RRHV#1 benefit period 1, the patient fall risk assessment at recert was scored at moderate risk. Fall precautions were not included in the plan of care or within the Aide Plan of care. Also in RRHV#1, the patient had a primary diagnosis of Lung Cancer with symptoms identified within the Face to Face and comprehensive assessments related to altered respiratory status. However there were no interventions included in the Plan of Care to address the management of respiratory symptoms. Nutritional Requirements, Functional Limitations, Safety Measures, and Activities Permitted were not included in the recertification plans of care for RRHV#1, RRHV#2, and RRNHV#1. In RRHV#3, specific wound care orders were not provided on the plan of care. Instead, the intervention indicated wound care was to be provided per wound care orders. This was confirmed by the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(5))
“Observed in Tracer Visit. In 1 out of 10 records, the plan of care included medical supplies that were not applicable to the patient. Example: In RRHV#2 benefit period #2, the plan of care included the need for oxygen supplies. However, the patient was not on oxygen. This was confirmed by the DCPS.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 95 words
“Observed in Record Review. In 3 out of 10 records, the registered nurse did not supervise the hospice aide during an on-site visit to the patient’s home no less frequently than every 14 days. Examples: In RRHV#3, there were no aide supervisory visits noted during the first 4 weeks of benefit period 1. In RRNHV#1, there were no aide supervisory visits documented during the first 5 weeks of benefit period 2. During RRNHV#2, there were no aide supervisory visits documented during the first 4 weeks of benefit period 1. This was confirmed by the DCPS.”
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Level of activity (42 CFR 418.78(e))
“Observed in Record Review. Volunteer staff provided day-to-day administrative or direct patient care in an amount that did not equal 5% of the total patient care hours of all paid hospice employees and contract staff over the last year. This was verified by the Executive Director.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Observed in Record Review. In 1 out of 2 records, the hospice did not provide the patient’s attending physician with a copy of the hospice discharge summary. Example: In RRBR#1, the HCO did not send the patient’s attending physician a copy of the hospice discharge summary. This was confirmed by the Executive Director and DCPS.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 23, 2026 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 19, 2023.
- 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): 22.1 nurse care minutes per routine home care day, 15.2% of skilled nursing minutes at weekends and a visit near death for 98.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 23% at home, 43% in assisted living, 33% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 22.1 min |
| Skilled nursing minutes at weekends | 15.2% |
| Visits near death | 98.2% of patients who died |
Who owns it?
- Max Dl, LLC owns 72% directly since Dec 3, 2020.
- 13 owners or officers are people: Jose C Lynch (owns 5% or more through other companies, 72%); Eric G Mcclellan (owns 5% or more directly, 13.5%); James E Sims (other role (CMS gives no detail), 4.5%); Zachary Larson (other role (CMS gives no detail), 2%); Shane Carlson (other role (CMS gives no detail), 2%); Taylor Boots (other role (CMS gives no detail), 2%); Mary Robinson (other role (CMS gives no detail), 2%); Jose C Lynch (corporate director); Jose C Lynch (runs it (operational or managerial control)); Ali MD Esmaili (managing employee (under contract), 0%); Lesley Affeldt (managing employee (on the payroll), 0%); Janette Kim (managing employee (on the payroll), 0%); Huy Thanh Ho (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Max Dl, LLC | Owns 5% or more directly | 72% | Dec 3, 2020 |
| Ellie LLC | Other role (CMS gives no detail) | 2% | Dec 3, 2020 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 70.91% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 74.4% 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 43 hospices CMS’s data show serving patients in ZIP code 93001, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 8.
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 |
|---|---|
| Aceso Hospice, Inc. | 30 |
| Pacific Crest Hospice of Ventura County LLC This hospice | 8 |
| Livingston Memorial Visiting Nurse Association - H | 2 |
| Assisted Home Hospice | 3 |
| Roze Room Hospice of Ventura | 4 |
| Vitas Healthcare Corporation of California | 3 |
| Access Tlc Hospice | 4 |
| Mission Hospice Services of Los Angeles LLC | 7 |
| Buena Vista Hospice | 4 |
| Mission Hospice Services of San Diego LLC | 3 |
| Mission Hospice of Ventura, LLC | 3 |
| Seasons of Life Hospice, LLC | Not given |
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.