Real Assurance Hospice Care
A hospice in Torrance, California 90501
21151 S Western Ave Suite 228, Torrance, California 90501. (310) 527-1751.
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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.
- 10 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?
10 deficiencies cited in the last three years
The middle of the 132 hospices serving ZIP code 90501 had 8.
The last inspection on record was on Oct 29, 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
10 deficiencies in 1 month of the last 36. Last cited Oct 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.
Oct 29, 2024: initial inspection by the Accreditation Commission for Health Care10 deficiencies
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Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(1))
“Upon observation, there was no evidence the Emergency Preparedness plan: • Is based on and includes a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach • Includes strategies for addressing emergency events identified by the risk assessment, including the management of the consequences of power failures, natural disasters, and other emergencies that would affect the hospice’s ability to provide care”
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EP Testing Requirements (42 CFR 418.113(d)(2))
“Upon observation, there was no evidence the agency has conducted exercises to test the emergency plan every two years. The Administrator/DPCS and clinical staff members could articulate knowledge of the agency’s emergency preparedness plan, including expectations for communications in the event of a crisis or disaster. However, there was no evidence the agency or its staff members have participated in exercises or drills as required to test the emergency plan.”
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Content of comprehensive assessment (42 CFR 418.54(c))
The inspectors’ words, 141 words
“Upon patient record review 3 of 5 (Patient #1, 2, 3) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient 1: At the time of hospice admission, or any subsequent time, there is no evidence the comprehensive assessment addressed the psychosocial needs of the patient and family. Patient 2: At the time of hospice admission, or any subsequent time, there is no evidence the comprehensive assessment addressed the spiritual needs of the patient and family. Patient 3: At the time of hospice admission, or any subsequent time, there is no evidence the comprehensive assessment addressed the psychosocial or spiritual needs of the patient and family.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 121 words
“Upon patient record review, 2 of 5 (Patient #1, 3) 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 Patient 1: The patient’s medication list does not include the ordered PRN oxygen therapy. (corrected onsite) Patient 3: The patient’s medication list does not include the ordered PRN oxygen therapy. Additionally, the medication list indicates diclofenac topical gel 3% apply 1-2g topically q 4 hours PRN pain, but fails to indicate a location for application. (corrected onsite)”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 94 words
“Upon patient record review, 3 of 5 (Patient #1, 2, 3) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patients #1, 2, 3 there was no evidence an initial bereavement assessment was completed.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 5 (Patient #3) 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 3: The plan of care includes an order for diclofenac topical gel 3% apply 1-2g topically q 4 hours PRN pain, but the order fails to indicate a location for application of this topical medication. (corrected onsite)”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 100 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 equipment and supply needs. Patient 1: The patient utilizes an OTB table, shower chair, and suction machine for management of the terminal illness; however, this DME does not appear on the plan of care. (corrected onsite) Patient 2: The patient utilizes a walker and wheelchair for management of the terminal illness; however, this DME does not appear on the plan of care. (corrected onsite)”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon patient record review, 1 of 5 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 2: The patient’s plan of care failed to be populated with the required nursing visit frequency. The RN has seen the patient weekly since hospice admission. However, these nursing services failed to be included in the initial or any subsequent updated plan of care. (corrected onsite)”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 108 words
“Upon patient record review 1 of 5 (Patient #2) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 2: Aide visits were ordered for 2 x weekly. On the weeks of 09.08.2024 and 09.15.2024, an aide visited the patient 3 times. On the week of 09.22.2024, an aide visited the patient 4 times. On the weeks of 09.29.2024 and 10.06.2024, an aide visited the patient 3 times.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 5 (Patient #4) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient 4: At the time of hospice admission, the patient/family requested the Notification of Noncovered Services addendum; however, there was no evidence that this document was returned to the patient/family.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 29, 2024 | Initial inspection by the Accreditation Commission for Health Care | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 29, 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?
- 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 132 hospices CMS’s data show serving patients in ZIP code 90501, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 10.
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 |
|---|---|
| Hope International Hospice, Inc. | 18 |
| Cherish Hospice | 9 |
| Alpha Hospice Care | 15 |
| Epione Hospice, Inc. | Not given |
| 1 Heart Hospice and Palliative Care, Inc. | 4 |
| Amare Hospice | Not given |
| Bridgewater Hospice | 12 |
| Omegalife Hospice of California, Inc. | Not given |
| Diamond Hospice Services Inc. | Not given |
| Summerwind Hospice, Inc. | 12 |
| Perpetual Days Hospice, Inc. | Not given |
| Allpeace Care | 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.