Rose Desert Hospice
A hospice in Lancaster, California 93534
42156 10th St W, Unit 106, Lancaster, California 93534. (818) 697-3356.
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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 207 hospices serving ZIP code 93534 had 5.
The last inspection on record was on Jan 24, 2024: an initial inspection by the Accreditation Commission for Health Care.
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 Jan 2024. 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 24, 2024: initial inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 162 words
“Upon patient record review, 2 of 5 (Patient #1,#2) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient#1: The medication profile indicated Acetaminophen 500mg 1 caplet PO every 6 hours pain/fever. There was no parameters for fever listed. Also, the medication profile indicated duplicate orders of Docusate Sodium 250mg 1 caplet PO BID and Senna Plus 8.6/50mg Daily. No order as to what to give first then second. Patient#2: The medication profile indicated Mupirocin 2% topical cream daily and as needed to surgical wound for soiling/loss of integrity until healed and further MD order. There was no evidence of the surgical wound location as where to apply ointment.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 188 words
“Upon patient record review, 3 of 5 (Patient #1,#2,#3) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient#1:An order dated 1/10/24, indicated SW and SC “May conduct telehealth visits if it is feasible and appropriate to do so.” There was not an indication of the quantity of visits. Patient#2:An order dated 1/03/24, indicated SW and SC “May conduct telehealth visits if it is feasible and appropriate to do so.” There was not an indication of the quantity of visits. Patient#3:An order dated 1/10/24, indicated SW and SC “May conduct telehealth visits if it is feasible and appropriate to do so.” There was not an indication of the quantity of visits.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 95 words
“Upon patient record review, 2 of 5 (Patient #1,#2) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient#1: The record indicated Acetaminophen 500mg PO 1 capsule every 6 hours PRN pain/fever. There was no parameters for fever listed. Patient#2: The record indicated Mupirocin 2% topical cream daily and as needed to surgical wound for soiling/loss of integrity until healed and further MD order. The order did not identify the location of the surgical wound.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 150 words
“Upon patient record review, 2 of 5 (Patient #4,#5) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient#4: There was no evidence of a follow up 2 month phone call to the bereaved, or documentation to support why phone call was not made. Patient#5: There was no evidence of a bereavement care plan or documentation supporting that the bereaved refused follow up. Corrected onsite.”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 1 of 10 (Personnel #5) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel#5: There is no evidence of supervisor’s signature on initial orientation competency checklist to confirm competency.”
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Content (42 CFR 418.104(a)(6))
“Upon patient client record review, 3 of 5 (Patient #1,#2,#3) did not have evidence that each patient record contains Advance Directives. Patient#1,Patient#2,Patient#3: All records indicated patients were DNR. There was not evidence of advanced directives in chart. Corrected onsite.”
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Personnel qualification (42 CFR 418.114(b)(4))
“Upon personnel record review, 1 of 10 (Personnel #10) did not have evidence that all Speech Therapy Services are provided by a qualified licensed Speech-Language Pathologist (SLP) or Audiologist in accordance with the state’s Speech-Language Pathology Practice Act and the hospice’s policies and procedures and/or job descriptions. Agency was unable to provide personnel files.”
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Personnel qualification (42 CFR 418.114(b)(5))
“Upon personnel record review, 1 of 10 (Personnel #9) did not have evidence all Occupational Therapy Services are provided by a qualified licensed Occupational Therapist (OT) in accordance with the state’s Occupational Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Agency was unable to provide personnel files.”
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Personnel qualification (42 CFR 418.114(b)(7))
“Upon personnel record review, 1 of 10 (Personnel #8 ) did not have evidence all Physical Therapy Services are provided by a qualified licensed Physical Therapist (PT) in accordance with the state’s Physical Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Agency was unable to provide personnel files.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 24, 2024 | Initial inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 14, 2024.
- 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.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 6 owners or officers are people: Elina Farmanova (managing employee (under contract), 100%); Elina Farmanova (owns 5% or more directly, 100%); Elina Farmanova (corporate officer, 100%); Elina Farmanova (corporate director, 100%); Elina Farmanova (managing employee (on the payroll), 100%); Pooya Mobasseri (managing employee (under contract)).
- 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 207 hospices CMS’s data show serving patients in ZIP code 93534, 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 |
|---|---|
| Valley’s Best Hospice - Av | 9 |
| Oasis Hospice | 11 |
| Bristol Hospice- Lancaster | 2 |
| Maximum Palliative Care and Hospice, Inc. | 17 |
| United Alliance Hospice Care, Inc. | 12 |
| Anthem Hospice | 0 |
| Rose Desert Hospice This hospice | 9 |
| Kaiser Foundation Hospital Valley Continuing Care | 10 |
| Vitas Healthcare Corporation of California | 3 |
| Mission Hospice | 15 |
| Bristol Hospice- Greater Los Angeles | 8 |
| H & A Hospice Inc. | 42 |
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.