ADVANTAGE HEALTH SYSTEMS
Provider Information
- Address
- 9663 TIERRA GRANDE STREET, SUITE 204
SAN DIEGO, CA 92126 - Ownership Type
- For-Profit
- Medicare Certified Since
- February 20, 2013
Are you this hospice's administrator? Update your information
CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of August 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 1 |
| Licensed Practical Nurses (LPN) | 0 |
| Physicians | 0 |
| Volunteers | 0 |
3
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what ADVANTAGE HEALTH SYSTEMS reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Respite care (up to five days at a time, to give family caregivers a break)
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2019.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ADVANTAGE HEALTH SYSTEMS compares to hospices nationwide.
14 minutes
of nurse care per routine home care day, on average
That is the 68th percentile among hospices nationally. The national median is about 12 minutes.
114
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day14 min
Ranks better than about 68% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends11.2%
Ranks better than about 77% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life89.9%
Ranks better than about 31% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits67.1%
Ranks better than about 30% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care12.7%
Ranks better than about 15% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months35.9%
Ranks better than about 53% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care11.3%
Ranks better than about 30% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice2.8%
Ranks better than about 28% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)87th percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$26,732 · 86th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 18.8% of patients or more. Most hospices score above 90 percent.
- Pain screening99.4%
- Pain assessment97.7%
- Breathing difficulty screening100%
- Breathing difficulty treatment98.2%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids98.5%
- Visits in the last days of life18.8%
- All care steps completed96.4%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer16%
- Dementia15%
- Heart and circulatory disease11%
- Lung and respiratory disease5%
- Stroke40%
- Other conditions16%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Advantage Health Systems in San Diego
Advantage Health Systems provides hospice care services to patients in San Diego, California. They operate as a freestanding hospice provider and have held Medicare certification since February 2013. The organization maintains accreditation from the Joint Commission, which is an independent group that sets high standards for patient safety and care quality. This accreditation shows that the provider meets rigorous national expectations for health care organizations. Their team works to support patients and families during difficult times by focusing on comfort and symptom management. They are located on Tierra Grande Street in the 92126 area of San Diego. Choosing the right provider is a personal decision that requires looking at both clinical quality and the specific needs of your loved one.
About Advantage Health Systems
Advantage Health Systems operates as a for-profit hospice provider. Being a for-profit agency means the organization is owned by private individuals or a company rather than a non-profit foundation. The Joint Commission accreditation they hold is a signal that they undergo regular reviews to ensure they follow strict safety rules. These reviews look at everything from infection control to how the staff handles medications. It is a big deal because it demonstrates a commitment to meeting national benchmarks. The agency is a smaller team, with three total employees currently listed in the federal records. Families should know that this provider has earned high marks for their quality of care. Their score for clinical outcomes is excellent according to federal data. This indicates that they focus heavily on managing pain and symptoms effectively for the people they serve.
Quality Summary
What Is Hospice Care Like in San Diego?
Hospice care in San Diego focuses on comfort when a cure is no longer the goal. Agencies in this area provide nurses and aides to help manage pain at home or in facilities. The goal is to improve the quality of each day for the patient. At Advantage Health Systems, the current staff includes one registered nurse. They do not have physicians, licensed practical nurses, or volunteers on their reported staff list. This means the clinical care is led by that single nurse. You should ask how they coordinate with your family doctor to ensure all medical needs are met. Most hospice teams in California include a wider group of staff to help with emotional and spiritual support. Ask about how they handle after-hours needs and who you will speak to when you have questions late at night.
What to Ask When Choosing a Hospice Provider
Selecting a hospice provider is a major step for your family. You should start by asking how the agency handles emergencies at night or on weekends. Will you reach a nurse who knows your patient, or will it be a general call center? Ask them how they manage pain and if they have a specific plan for common symptoms. It helps to ask how often a nurse will visit your home. You should also ask how they keep your family doctor in the loop about changes in condition. Another good question is how they handle medications and equipment deliveries. A good provider will answer these questions clearly and without hesitation. Make sure you feel comfortable with the person you talk to during the first call. Your comfort level is just as important as the clinical data.
Keep Your Family Memories Alive
Your loved one has a lifetime of stories that deserve to be remembered. Recording these moments now creates a lasting gift for your children and grandchildren to cherish forever.
Start Preserving StoriesOther Hospice Providers Nearby
MISSION HOSPICE SERVICES OF SAN DIEGO LLC
KAISER FOUNDATION HOSPITAL SAN DIEGO HOSPICE
GENTIVA
PARAMOUNT HOSPICE
INTERIM HEALTHCARE SAN DIEGO HOSPICE
RADIANT HOSPICE
Helpful Guides for Families
Understanding Medicare Hospice Benefit: A Family Guide
Confused by hospice coverage? Our guide to understanding Medicare hospice benefits helps you navigate care options and costs with confidence and clarity.
Highest-Rated Hospice Providers in Orange County, CA 2026
22 Orange County, CA hospices tie at a perfect 10 on CMS's Hospice Care Index. See all 22 A to Z, and which 9 also carry a Medicare family survey star.
How to Spot a Trustworthy Hospice in 2026
A federal fraud crackdown froze new hospice enrollments in 2026. Here's how to verify a hospice is legitimate, Medicare-certified, and safe to trust.
Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.