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Advantage Health Systems: Medicare Hospice Quality Record in San Diego, CA

Advantage Health Systems is a Medicare-certified hospice in San Diego, CA with a Hospice Care Index of 10 out of 10 and 2 of 5 stars from family…

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Home›In-Home Care›Hospices›Advantage Health Systems

Advantage Health Systems is a Medicare-certified hospice based at 9663 Tierra Grande Street, Suite 204 in San Diego, CA 92126. It has been certified since 2013. It cares for about 114 patients on an average day, making it a mid-sized hospice. It scores 10 out of 10 on Medicare's Hospice Care Index; the California average is 8.3. Family caregivers rate it 2 out of 5 stars. The index flags 4 areas where it is worse than the California average, starting with gaps in nursing visits longer than 7 days.

10 / 10Hospice Care Index
★★☆☆☆2 / 5Family caregiver survey
114Patients on an average day
2013Medicare-certified since

What is Advantage Health Systems's Medicare record?

HospiceAdvantage Health Systems
Address9663 Tierra Grande Street, Suite 204, San Diego, CA 92126
Phone(858) 547-0077
Medicare provider number (CCN)551686
OwnershipFor-Profit
Medicare-certified since02/20/2013

How does Advantage Health Systems score on Medicare's Hospice Care Index?

Advantage Health Systems scores 10 out of 10 on the Hospice Care Index, which counts how many of ten visit, discharge and staffing indicators a hospice meets. Against the California average it is better on 2 of the indicators below and worse on 4.

IndicatorAdvantage Health SystemsCalifornia averageU.S. averagevs. California
Gaps in nursing visits longer than 7 days (lower is better)67.1%58.9%52.4%Worse
Patients discharged alive within 7 days (lower is better)12.7%5.4%7.3%Worse
Patients discharged alive after 180 days or more (lower is better)35.9%42.7%37.4%Better
Live discharge followed by a hospital stay and readmission to hospice (lower is better)11.3%6.5%8.5%Worse
Live discharge followed by death in hospital (lower is better)2.8%1.9%2.1%About the same
Nurse minutes per routine home care day14 min30.4 min19.9 minWorse
Share of skilled nursing minutes given on weekends11.2%13.7%9.6%About the same
Patients visited by a nurse in the last 3 days of life89.9%83.6%89.3%Better

Separately, 96.4% of its patients received all seven recommended care steps at admission (California average 93.4%) and 18.8% were visited by a nurse or social worker on at least two of their last three days (California average 20.4%).

What do families say about Advantage Health Systems?

72% of family caregivers said they would definitely recommend Advantage Health Systems; the California average is 82%. The survey goes to the family member who was the main caregiver, after the patient has died.

Survey questionAdvantage Health SystemsCalifornia averageU.S. averagevs. California
Team always communicated well72%79%82%Worse
Team always provided timely help58%73%78%Worse
Team always treated the patient with respect85%89%91%Worse
Right amount of emotional and spiritual support86%89%91%Worse
Patient always got help for pain and symptoms68%75%76%Worse
Caregivers rated the hospice 9 or 1072%80%83%Worse
Would definitely recommend the hospice72%82%85%Worse

Where does Advantage Health Systems deliver care, and to whom?

47% of advantage health systems's care is delivered at home and its largest patient group by diagnosis is stroke (40%). It has provided levels of care beyond routine home visits, such as continuous care at home or inpatient stays, in the last three years.

Where care is deliveredShare of patients
At home47%
In assisted living47%
In a nursing facility5%
In a skilled nursing facility1%
Primary diagnosisShare of patients
Stroke40%
Cancer16%
Other conditions16%
Dementia15%
Heart and circulatory disease11%
Respiratory disease5%

Which San Diego-area ZIP codes does Advantage Health Systems serve?

Advantage Health Systems tells Medicare it serves 79 ZIP codes in San Diego County.

  • 91901
  • 91902
  • 91910
  • 91911
  • 91913
  • 91914
  • 91915
  • 91932
  • 91935
  • 91941
  • 91942
  • 91945
  • 91950
  • 91977
  • 91978
  • 92007
  • 92008
  • 92009
  • 92010
  • 92011
  • 92014
  • 92019
  • 92020
  • 92021
  • 92024
  • 92025
  • 92026
  • 92027
  • 92028
  • 92029
  • 92036
  • 92037
  • 92040
  • 92054
  • 92056
  • 92057
  • 92064
  • 92065
  • 92067
  • 92069
  • 92071
  • 92075
  • 92078
  • 92081
  • 92082
  • 92083
  • 92084
  • 92091
  • 92101
  • 92102
  • 92103
  • 92104
  • 92105
  • 92106
  • 92107
  • 92108
  • 92109
  • 92110
  • 92111
  • 92113
  • 92114
  • 92115
  • 92116
  • 92117
  • 92118
  • 92119
  • 92120
  • 92122
  • 92123
  • 92124
  • 92126
  • 92127
  • 92128
  • 92129
  • 92130
  • 92131
  • 92139
  • 92154
  • 92173

What should you ask Advantage Health Systems before choosing it?

Ask how often the nurse visits

67.1% of Advantage Health Systems's patients went more than seven days without a nursing visit at some point, against 58.9% across California. Ask for the planned visit schedule in writing and who decides when it changes.

Ask what happens in the first week

12.7% of its live discharges came within a week of enrollment (California average 5.4%). Ask what the admission visit covers and how they confirm hospice is the right fit before enrolling.

Ask how a crisis at home is handled

11.3% of its live discharges were followed by a hospital stay and a return to hospice (California average 6.5%). Ask who comes to the house in a symptom crisis and how fast.

Ask where inpatient care happens

When symptoms cannot be managed at home, hospice provides short inpatient stays. Ask which facility they use and how far it is from the family.

Which other hospices serve San Diego, CA?

All Medicare-certified hospices in San Diego County

Last verified: November 2026, against the Medicare hospice data release dated 2026-08-07.

Common questions

Is Advantage Health Systems Medicare-certified?

Yes. Advantage Health Systems is certified by Medicare under provider number 551686 and has been since 2013.

What is Advantage Health Systems's Hospice Care Index score?

10 out of 10 in the current Medicare data. The California average is 8.3.

How large is Advantage Health Systems?

It cares for about 114 patients on an average day.

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