Appling Hospice Care
A hospice in Upland, California 91786
400 N Mountain Ave, Suite 123f, Upland, California 91786. (909) 532-5154.
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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
- Not available 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 164 hospices serving ZIP code 91786 had 7.
The last inspection on record was on Jun 27, 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 Jun 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.
Jun 27, 2025: reaccreditation inspection by The Joint Commission7 deficiencies
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Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 101 words
“Observed in Individual Tracer. In 3 of 10 patient records reviewed, did not have a update of the comprehensive assessment by all members of the interdisciplinary group. The update for the physician on at least 1 IDT for RR#1 reflected the following- continue to monitor. At least 1 IDT in RR#2, RR#7, and RR#4 were signed by the physician however the section for the physician update was left blank. A new order in RR#1 was obtained for fluticasone inhaler and the subsequent IDT did not reflect the status or patient response to this medication. This observation was discussed with the RN.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Individual Tracer. In 5 of 10 patient records reviewed, did not have measurable or individualized goals. The target dates to achieve goals were either by the end of the certification period or within 2 weeks for RR#1, RR#2, RR#4, and RR#3. Some of the goals included safety, bowel management, and wound care. RR#6 had pain and the goal for pain management did not include any numeric value. This observation was discussed with the director.”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Individual Tracer. In 2 of 10 patient records reviewed, the comprehensive care plan did not include specific interventions to manage patients’ symptoms. RR#3 & RR#4 had a Foley that was being managed by the hospice and the care plans did not include the specific orders related to the Foley size, balloon size, or how frequently it was to be changed.”
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Quality assessment & performance improvement (42 CFR 418.58)
“Observed in Leadership Session. Based on a review of the available data, the Quality Assessment and Performance Improvement (QAPI) did not address the complexity of the services provided. The Hospice provided routine, continuous, respite, and GIP levels of care. These services were not addressed in the 2024 QAPI minutes. Additionally, the hospice provided services under contract and these services (ie pharmacy, DME, and SNF) were not addressed in the 2024 QAPI minutes. This observation was discussed with the administrator.”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Data Session. Based on the review of available data, the hospice did not collect/analyze hand hygiene data in the field and or collect compliance data on all discipline types that provide care in the field in 2024. This observation was discussed with the Director.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Individual Tracer. In 3 of 5 patient records reviewed, the hospice aide care plan did not include comprehensive written instruction based on the assessed needs of the patients. RR#1 was oxygen dependent and on aspiration precautions and the aide care plan did not reflect these precautions. RR#2 had seizures and a gastrostomy tube and these precautions were not reflected on the care plan. RR#6 had a colostomy and this was not indicated on hospice aide care plan. This observation was discussed with the director.”
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Level of activity (42 CFR 418.78(e))
“Observed in Leadership Session. Based on a review of the available data which included the QAPI minutes, the Hospice did not provide administrative or direct patient care volunteer hours equally 5%. Per the QAPI minutes they have not provided volunteer hours due to the pandemic. This observation was discussed with the administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 27, 2025 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 9, 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?
- 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): 97% at home, 3% in assisted living.
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 164 hospices CMS’s data show serving patients in ZIP code 91786, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; 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 |
|---|---|
| St Grace Hospice Inc. | Not given |
| Advantage Hospice Providers, Inc. | 6 |
| Nova Home Hospice Inc. | 6 |
| Ivy Hospice Care, Inc. | 18 |
| Golden Angel Hospice Inc. | 9 |
| Blendship, Inc. | 31 |
| Medplus Hospice Services | 8 |
| Foothill Hospice Care, Inc. | Not given |
| Geana Hospice Care Inc. | 9 |
| Unicare Hospice Provider, Inc. | 9 |
| Achieva Hospice, Inc. | 9 |
| Butterfly Hospice | 17 |
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.