Violation
California Code § 87633(a)(4)Hospice Care Plans
How CCLD inspectors cite this regulation, what providers do to stay clear of it, and where it appears in the public record.
Regulation text
What California Code § 87633(a)(4) actually says
California Code § 87633(a)(4)
A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident's hospice agency, and agreed to by the licensee and the resident, or prospective resident, or the resident's or prospective resident's Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s).
From the field
What providers tell us about this citation
Based on community experience, not official guidance.
28 California RCFEs were cited for missing or incomplete hospice care plans, with Kern County alone accounting for 7 citations. An LPA will request hospice documentation for every terminal resident during inspection. Keep a signed copy of each hospice care plan in the resident file and a second copy accessible to caregiving staff, because an unsigned or missing plan triggers a citation even if hospice services have already started.
By the numbers
- 27*CCLD
- facilities cited in the last 90 days
- 12*CCLD
- counties where this citation appeared
- --*CCLD
- rank among most-common citations
- Trajectory
- Steady
That is 1 in 500 facilities CCLD inspected.
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Last 90 days vs. previous 90 days.
27 facilities were cited for this in the last 90 days. See if yours is one of them.
What other providers do
Common practices to stay clear of Hospice Care Plans
Common practices shared by providers. Confirm requirements with your licensing analyst.
Common practices
What to avoid
- Allowing hospice services to begin before the written care plan is completed and signed by all parties
- Failing to implement specific hospice care plan interventions because staff assumed the hospice agency would handle them alone
- Not updating the hospice care plan when a resident's terminal illness requires new medical interventions
Regional record
Where this citation appeared in the past 90 days
Citation counts and rates by California county, drawn from CCLD inspection records.
| County | Citations |
|---|---|
| Kern | 7 |
| Los Angeles | 5 |
| Fresno | 3 |
| Orange | 2 |
| Sacramento | 2 |
| Contra Costa | 2 |
| Sonoma | 1 |
| Ventura | 1 |
| Imperial | 1 |
| Riverside | 1 |
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Public record
Check any facility for § 87633(a)(4)
Free public record. No account needed.
FAQ
Frequently asked questions
Answers based on public CCLD data and regulation text. May not reflect recent changes.
What is a hospice care plan violation in an RCFE?
How common are hospice care plan violations in California assisted living?
What happens if an RCFE is cited for a missing hospice care plan?
How do I fix or prevent a hospice care plan citation?
Does a hospice care plan violation affect my RCFE license?
Related violations
Other citations in this regulation family
This information is educational and does not constitute legal advice. Consult a licensed residential care compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.