TOPKARE HOSPICE INC.
Provider Information
- Address
- 7071 CONVOY COURT, SUITE 101
SAN DIEGO, CA 92111 - Ownership Type
- For-Profit
- Medicare Certified Since
- September 15, 2020
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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 May 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) | 1 |
| Physicians | 1 |
| Volunteers | 1 |
6
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 TOPKARE HOSPICE INC. 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
- Both general inpatient care and respite care
- 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 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how TOPKARE HOSPICE INC. compares to hospices nationwide.
11.7 minutes
of nurse care per routine home care day, on average
That is the 43rd percentile among hospices nationally. The national median is about 12 minutes.
41
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 day11.7 min
Ranks better than about 43% 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 weekends11.1%
Ranks better than about 76% 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 life88.8%
Ranks better than about 28% 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 visits75.8%
Ranks better than about 18% 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 care9.1%
Ranks better than about 32% 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 months36.4%
Ranks better than about 51% 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 care12.1%
Ranks better than about 26% 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 hospice3%
Ranks better than about 25% 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)52nd 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$27,442 · 87th 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 45% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment87.1%
- Breathing difficulty screening100%
- Breathing difficulty treatment90.2%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids45%
- Visits in the last days of life46.1%
- All care steps completed82.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer10%
- Dementia32%
- Heart and circulatory disease41%
- Stroke8%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Topkare Hospice Inc.
Topkare Hospice Inc. operates in San Diego, California. They provide end-of-life care services to families in the local area. This hospice is accredited by the Joint Commission. That group sets strict rules for safety and care quality. They check providers to make sure they follow these high standards. Choosing an accredited hospice shows a commitment to meeting national benchmarks. This provider is a freestanding hospice. They focus on meeting the needs of patients in their own homes or care settings. Their team works to manage pain and improve quality of life for those they serve. Finding the right support makes a real difference during a hard time. Families in San Diego have access to these services right in their community. It is helpful to know what standards a provider meets before you decide on care for your loved one.
About Topkare Hospice Inc.
This hospice is a for-profit organization. They have been certified by Medicare since September 2020. Being Medicare-certified is a baseline requirement for hospice providers in the United States. It means they follow federal rules for patient rights and care delivery. The Joint Commission accreditation adds another layer of review. This private group visits the site to look at how the staff handles medical records and patient safety. They look at how the team coordinates care for each person. Most families appreciate this extra oversight. It offers peace of mind that a third party checked their work. The team includes a small group of six employees. This includes one registered nurse and one licensed practical nurse. They also have one physician and one volunteer on the team. Small teams can sometimes offer more personal attention to each patient they serve throughout the week.
Quality Performance
What Is Hospice Care Like in San Diego?
Hospice care in San Diego focuses on comfort and dignity. The goal is to help patients live as fully as possible during their final months. Teams usually come to your house or a care facility. They bring medical supplies and equipment to you. You do not have to travel to a clinic for daily needs. The team at this location includes one registered nurse and one physician. They also have a licensed practical nurse and a volunteer available. These professionals work together to address pain and emotional stress. They coordinate with your family to create a plan that fits your specific situation. Having a local team means they can reach you quickly when needs change. Care looks different for every family. The core goal is always to keep the patient comfortable in a familiar place. This team approach helps manage the physical and emotional parts of end-of-life care.
What to Ask When Choosing a Hospice Provider
You should feel empowered to ask questions. Start by asking how the team handles pain management at night or on weekends. It is good to know who you call in an emergency. You might ask how often a nurse will visit the home. Ask if they have experience with your loved one's specific diagnosis. Another good question is how they support family members with grief. You can also ask about their volunteer program and what tasks they perform. Ask them how they handle requests for changes to the care plan. You want to know if they listen to your concerns. Do not be afraid to ask for clarity on any part of the care process. The right provider will answer these questions with patience and honesty. Good communication is a sign of a strong care team. Take your time to get the answers you need.
Preserve Your Family History
Your family has a unique story that deserves to be remembered for years to come. Start recording those special memories today to create a lasting gift for your children and grandchildren.
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