1st Choice Hospice
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Hospice Care · Medicare certified
2040 N Winery Ave, Suite 102, - · Fresno, CA 93703
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1639826613. Look this up in the CMS NPPES registry (opens in a new tab)
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Ardent Hospice of Fresno is a hospice provider with its office in Fresno, California, in Fresno County. Federal records list it as Medicare certified. It is recorded as a for-profit operator. Our copy of the inspection record holds 41 citations, the newest dated 21 January 2025. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
96.5 out of 100 on CMS's hospice composite process measureInspections on record
Not published
Cited deficiencies
Not published
Records from October 2021 to January 2025.
January 21, 2025 · Standard
Citation L0574Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0574 (CFR 418.58(e)(1)) for Executive responsibilities. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0644Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0644 (CFR 418.78(b)) for Role. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0620Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0620 (CFR 418.76(d)) for In-service training. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Condition
Citation L0641Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0641 (CFR 418.78) for Volunteers. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Condition
Citation L0648Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0648 (CFR 418.100) for Organizational environment. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0596Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0596 (CFR 418.64(d)(1)) for Counseling services. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0632Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0632 (CFR 418.76(h)(2)) for Supervision of hospice aides. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0544Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0544 (CFR 418.56(b)) for Plan of care. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0625Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0625 (CFR 418.76(g)(1)) for Hospice aide assignments and duties. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0652Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0652 (CFR 418.100(c)(1)) for Services. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0646Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0646 (CFR 418.78(d)) for Cost saving. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0531Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0531 (CFR 418.54(c)(7)) for Content of comprehensive assessment. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0645Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0645 (CFR 418.78(c)) for Recruiting and retaining. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0643Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0643 (CFR 418.78(a)) for Training. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0663Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0663 (CFR 418.100(g)(3)) for Training. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0573Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0573 (CFR 418.58(d)(2)) for Performance improvement projects. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0522Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0522 (CFR 418.54(a)) for Initial assessment. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0557Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0557 (CFR 418.56(e)(4)) for Coordination of services. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
January 21, 2025 · Standard
Citation L0647Federal surveyors cited this hospice in a survey that ended on 2025-01-21 under CMS tag L0647 (CFR 418.78(e)) for Level of activity. CMS recorded this at the standard level, which sits under a condition of participation. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
October 23, 2024 · Condition
Citation L0648Federal surveyors cited this hospice in a survey that ended on 2024-10-23 under CMS tag L0648 (CFR 418.100) for Organizational environment. CMS recorded this at the condition level, which is the broader of the two levels used on a hospice survey. L tags cover the Medicare Conditions of Participation for hospices. CMS recorded the survey type as Recertification. CMS recorded the survey as conducted by a state survey agency. Source: CMS QCOR hospice statements of deficiency (as of 2026-04-09).
CMS publishes its civil money penalty and payment denial file for certified nursing homes only. No hospice appears in it, including this one. Enforcement here runs through the state licensing agency instead.
Staffing hours are published for nursing homes and for no other kind of provider. Federal law requires Medicare- and Medicaid-certified nursing homes to file payroll-based nurse hours with CMS every quarter, and no agency collects the same return from hospices.
For-Profit
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS home health hospice (hospice)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
We don't have a provider-specific price for this listing, and a state-level cost estimate isn't published yet for its care type. Contact the provider directly for current pricing.
Other licensed providers in Fresno, with their own public records.
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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? California Medicaid for Long-Term Care: 2026 Guide
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