Tri Meadows Healthcare LLC
A hospice in Northridge, California 91324
8622 Reseda Blvd, Suite 204, Northridge, California 91324.
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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.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 196 hospices serving ZIP code 91324 had 5.
The last inspection on record was on Dec 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
9 deficiencies in 1 month of the last 36. Last cited Dec 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.
Dec 11, 2025: reaccreditation inspection by The Joint Commission9 deficiencies
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Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(1))
“Observed in Emergency Management Session. The organization’s hazard vulnerability analysis failed to include the following: Emerging infectious diseases (such as Ebola, Zika Virus, SARS-CoV-2, this was observed and validated by the DON”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 224 words
“Observed in Record Review. In 10 of 11 patient records reviewed, The organization failed to provide a written plan of care based on the patient’s goals and the time frames as evidenced in RRHV#1: A neurological goal: Patient needs will be met on a day to day basis as communicated and minimize episodes of cognitive symptoms through medications throughout this certification period. RRHV#2: The patient`s s/sx of agitation will be managed and controlled by the use of Quetiapine Fumarate 50 mg 1 tablet in the morning routinely until the end of certification period. RRHV#3: Patient`s pain will remain in comfortable level within certification period. RRNHV#1: patient will verbalize and/or express decreased episodes of SOB during activities during this benefit period. RRNHV#2: pain will remain at a comfortable level during this benefit period. RRNHV#3: achieve and maintain peripheral circulation for patient comfort as evidenced by a normal level of BP and having no edema. RRNHV#5: Goal not specific: patient will have strength and energy for daily activities,. RRNHV#6: Cardiac: patient will maintain optimum peripheral circulation maintaining VS within normal limits during this cert period. RRNHV#7: Achieve and maintain peripheral circulation for Pt comfort by maintaining blood pressure at normal limits and give anti-coagulant. RRNHV#8: Goals not specific: Episodes of confusion will be decreased during this benefit period this was observed and validated by the DON”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Record Review. In 1 of 11 patient records reviewed, The plan of care failed to include all services needed as evidenced in RRNHV#7: POC did not include safety precautions such as bleeding precautions for a patient on anticoagulants, this was observed and validated by the DON”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 172 words
“Observed in Record Review. In 5 of 11 patient records reviewed, The organization failed to revise the plan of care based on information from updates to the patient’s comprehensive assessment and address the patient’s progress toward goals and outcome as evidenced in RRHV#1: Psychological goals unchanged since SOC - Establish trusting relationship with Pt/Family/PCG.-Pt and Family to be learned on progression of illness, dying process and grieving.-Pt/Family/PCG will receive emotional support to adequately cope with illness/death and Pt/Family/PCG will verbalize understanding of Pt`s terminal illness. RRHV#2: Pt/Family/PCG will verbalize understanding of functional limitations as part of terminal condition and disease process. -No physical injuries as a result of accidents/fall RRHV#3: Pt/Family/PCG will receive emotional support to adequately cope with illness/death and Pt/Family/PCG will verbalize understanding of Pt`s terminal illness. RRNHV#3: patient and family will freely verbalize spiritual needs and concerns and will verbalize receiving desired spiritual support. RRNHV#6: Cardiac: patient will maintain optimum peripheral circulation maintaining VS within normal limits during this cert period, this was observed and validated by the DON”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Infection Control Tracer. The organization failed to gather data to evaluate hand hygiene compliance, therefore could not establish any goals, this was observed and validated by the DON”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 1 of 2 patient records reviewed, The organization failed to develop a bereavement plan of care that specifies the type of bereavement services to be offered and the frequency of service delivery as evidenced in RRBR#2: there is no bereavement care plan, this was observed and validated by the DON”
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Competency evaluation (42 CFR 418.76(c))
“Observed in HR File Review. In 1 of 1 HR files reviewed, The supervising nurse failed to assess the aide’s ability to demonstrate initial satisfactory performance in the following: - Completing the tasks in the plan of care assigned to the hospice aide by the registered nurse as evidenced that the HHA competency was not completed on orientation, this was observed and validated by the DON”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 101 words
“Observed in Record Review. In 6 of 11 patient records reviewed, The RN who prepares written patient care instructions for the hospice aide failed to update the HHA assignment as evidenced in RRNHV#1 & RRNHV#4, RRNHV#6: HHA assignment was not updated when the patient developed the pressure ulcer, RRNHV#2: HHA assignment did not include specific instruction for wound or if O2 can be taken off during bed bath. RRNHV#5: if O2 can be taken off during bed bath. RRNHV# 7: patient was on an anticoagulant and bleeding precautions were not identified in POC, this was observed and validated by the DON”
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Serving the hospice patient and family (42 CFR 418.100(a)(1))
“Observed in Patient Home. In 1 of 3 home visits conducted, The organization failed to treat the patient in a dignified and respectful manner as evidenced in RRHV#3: while providing a bed bath to the patient the HHA did not close a door that was open to an outdoor patio area, therefore not providing privacy for the patient, this was observed and validated by the DON”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 11, 2025 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 18, 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): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 4 owners or officers are people: Irma Mejorado (owns 5% or more directly, 100%); Irma Mejorado (corporate officer, 100%); Irma Mejorado (corporate director, 100%); Irma Mejorado (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 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 196 hospices CMS’s data show serving patients in ZIP code 91324, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 |
|---|---|
| Aasta Hospice | 5 |
| Premier Hospice, Inc. | Not given |
| Valley Crest Hospice, Inc. | 7 |
| Sunlit Hospice Inc. | Not given |
| Honest Hospice | 26 |
| Lumen Hospice, Inc. | Not given |
| Tulip Hospice, Inc. | Not given |
| A1kare Hospice & Palliative Care, Inc. | Not given |
| Red Cross Hospice Inc. | 2 |
| Tram Hospice Care, Inc. | 30 |
| Loving Hands Hospice | 3 |
| Bravo Hospice and Palliative Care | 4 |
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.