Deficiency Index

Every finding on record at 5th Empire, LLC

Glendale, California · CCN B41656

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of July 29, 2022

1 finding
L0695

Observed in Patient Home. During HV#1 It was noted the patient's admission packet did not contain the organization's policy and procedure on management and disposal of controlled medications. The admission packet had written information on medication disposal but lacked the organization policy on narcotic disposal. The patient is prescribed hydrocodone 5mg/acetaminophen 325mg (Norco) for pain.

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Federal survey findings only. State licensure findings for hospices are not shown.

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