Deficiency Index

Every finding on record at Emhospice LLC

Rancho Cucamonga, California · CCN B51562

2 findings 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 October 22, 2025

2 findings
L0530

Upon patient record review, 5 of 14 (Patient #2, #3, #4, #5, #6) did not contain evidence that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review included, but was not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #2: Neither Bimatoprost or Brimonidine Tartrate indicated which eye(s) to be applied to. Patient #3: Tramadol indicated as "as needed" but did not indicate frequency. Patient #4: Miralax indicated as "as needed" but did not indicate frequency. Patient #5: Zofran indicated as "as needed" but did not indicate frequency. Patient #6: Tylenol indicated as "as needed" but did not indicate frequency.

L0549

Upon patient record review, 5 of 14 (Patient #2, #3, #4, #5, #6) did not contain evidence that the plan of care included all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments: Patient #2: Initial POC or updated POCs did not reflect which eye(s) that Bimatoprost or Brimonidine Tartrate were to be applied to. Patient #3: Initial POC or updated POCs did not indicate frequency for use of "as needed" Tramadol. Patient #4: Initial POC or updated POCs did not indicate frequency for use of "as needed" Miralax. Patient #5: Initial POC or updated POCs did not indicate frequency for use of "as needed" Zofran. Patient #6: Initial POC or updated POCs did not indicate frequency for use of "as needed" Tylenol.

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

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