Hillcrest Hospice Inc.
A hospice in Thousand Oaks, California 91362
2985 East Hillcrest Drive, Suite 203, Thousand Oaks, California 91362. (805) 370-0050.
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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.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 85 hospices serving ZIP code 91362 had 6.
The last inspection on record was on Jun 18, 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
6 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 18, 2026: reaccreditation inspection by The Joint Commission6 deficiencies
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Plan of care (42 CFR 418.56(b))
“Observed in Record Review. In 1 of 7 patient records reviewed, the caregiver was not educated to changes in the plan of care. For example: RRBC#4 had new orders given on date of admission to apply Vitamin A&D ointment for skin maintenance; new orders to apply Santyl ointment to coccyx wound and to apply silver gel to left shoulder pressure injury. There is no evidence/documentation that the caregiver was educated on the new wound care orders. This was discussed with the DPCS and the Alternate Administrator.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 91 words
“Observed in Record Review. In 2 of 7 patient records reviewed, the hospice did not include all services necessary on the plan of care. For example: RRBR#2 the patient was identified to be a high risk for falls and the plan of care did not reflect goals or interventions based upon this problem. RRBR#2 and RRBR#3 the patients were placed on pureed diet and nectar thickened liquid. There were not goals, interventions or aspiration precautions reflected on the plan of care. This was discussed with the DPCS and the Alternate Administrator.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 180 words
“Observed in Record Review. In 1 of 7 patient records reviewed, the organization’s prn medication orders were incomplete. For example in RRBR#3, the patient orders included: Acetaminophen 500mg one tablet orally every 4 hours as needed mild pain / temperature >100F and Acetaminophen 650mg 1 suppository rectally every 4 hours as needed for mild pain / temperature >100F and Morphine Sulfate 100mg/5ml 0.5ml, oral/sublingual every 4 hours breakthrough pain or shortness of breath. The orders do not clarify when each medication is to be administered. This was discussed with the DPCS and the Alternate Administrator. Observed in Patient Home. In 1 of 2 home visits conducted, the nurse provided wound care without a physician order. For example: during RRHV#2, the nurse noted that the patient had a large band-aide on his right cheek. The nurse removed the band-aide, cleansed the open wound with wound wash solution and 4x4s, applied triple antibiotic ointment and covered with a new band-aide. There were no physician orders for this treatment in the medical record. This was discussed with the DPCS and the Alternate Administrator.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 104 words
“Observed in Record Review. In 1 of 2 patient records reviewed, during RRHV#1 the surveyor noted the plan of care was established by the RN at the start of care and all goals were documented as resolved. No new goals have been established however, patient continues to receive hospice services, including skilled nursing and home health aide services. For example: the patient ranked her pain level 3 at admission, every nurse visit note since admission has ranked her pain at a 5, however no new goals/interventions have been established to manage the patients pain. This was discussed with the DPCS and the Alternate Administrator.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 106 words
“Observed in Patient Home. In 1 of 2 home visits conducted, the surveyor observed during RRHV#2 the nurse remove a large band-aid from the patients left cheek. The nurse then removed a tube of triple antibiotic ointment, an open paper sleeve of gauze 4X4s and wound wash spray from her nursing bag, using the wound wash spray and 4x4s, cleanse the wound, the apply triple antibiotic ointment to the open wound on patient and cover with a new band-aid. The nurse returned the sleeve of unused 4x4s and the triple antibiotic ointment to her nursing bag. This was discussed with the DPCS and the Alternate Administrator.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Patient Home. In 1 of 2 home visits conducted, for patients receiving hospice aide services, it was noted during RRHV#2 record review that the patient was taking: ASA 81mg (antiplatelet) one tablet by mouth daily and Clopidogrel (Antiplatelet) 75mg, one tablet by mouth daily. The aide plan of care did not include an intervention related to bleeding precautions. This observation was reviewed with the DPCS and Alternate Administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 18, 2026 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 21, 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?
- 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): 83% in assisted living, 17% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 8 owners or officers are people: Michael Rosales (corporate officer, 100%); Michael Rosales (runs it (operational or managerial control), 100%); Sonia Acuna (corporate officer, 100%); Kathleen A Vergel De Dios (corporate officer, 100%); Kathleen A Vergel De Dios (managing employee (on the payroll), 100%); Michael Rosales (owns 5% or more directly, 80%); Sonia Acuna (owns 5% or more directly, 10%); Kathleen A Vergel De Dios (owns 5% or more directly, 10%).
- 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 85 hospices CMS’s data show serving patients in ZIP code 91362, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 6.
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 |
|---|---|
| Neighbor Care Hospice | 4 |
| Conejo Valley Hospice | Not given |
| Hillcrest Hospice Inc. This hospice | 6 |
| Buena Vista Hospice | 4 |
| Los Robles Healthcare | 1 |
| Generation Care, Inc. | 2 |
| Bella Vista Hospice Care, Inc. | 25 |
| Dynamic Hospice and Palliative Care | 2 |
| Full Care Hospice and Palliative Care Inc. | 12 |
| Providence at Home With Compassus Hospice Care La County | 5 |
| Livingston Memorial Visiting Nurse Association - H | 2 |
| Kaiser Foundation Hospital Valley Continuing Care | 10 |
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.