Lightbridge Hospice
A hospice in San Diego, California 92121
6155 Cornerstone Court East, #220, San Diego, California 92121. (858) 458-2992.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 11 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
11 deficiencies cited in the last three years
The middle of the 16 hospices serving ZIP code 92121 had 10.5.
The last inspection on record was on Jun 6, 2025: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
11 deficiencies in 1 month of the last 36. Last cited Jun 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Jun 6, 2025: reaccreditation inspection by The Joint Commission11 deficiencies
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Develop EP Plan, Review and Update Annually (42 CFR 418.113(a))
“Observed in Emergency Management Session. During review of the organization EOP it was noted the plan was not reviewed and/or updated at least every 2 years. The last review of the plan was dated 2022. This was discussed with the DPCS.”
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Record Review. In 1 of 3 patient records reviewed, for post death bereavement services. During BRRR#1 it was noted lack of an initial bereavement assessment completed during the initial comprehensive assessment. This was discussed with the Administrator.”
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Content of comprehensive assessment (42 CFR 418.54(c)(8))
“Observed in Record Review. In 13 of 14 patient records reviewed, During HOSRR#2, HOSRR#1, HOSRR#3, HOSRR#4, HOSRR#5, HOSRR#6, HOSRR#7, HOSRR#8, HOSRR#9, HOSRR#10, HOSHV#1, HOCHV#3 and HOSHV#4 it was noted lack of documentation that the need for volunteer services to offer support or respite to the patient, family, or other caregivers was assessed. This was discussed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 272 words
“Observed in Record Review. In 5 of 14 patient records reviewed, During patient medical record reviews it was noted goals were not individualized and lacked outcome time frames. For example in HOSRR#6: GI goals to be accomplished by the end of the certification date, Pt/PCG will verbalize/ demo understanding of instruction under neuro/mental goals however the goal lacked an outcome date, Pain: Pt/PCG will verbalize/demonstrate understanding of education as it relates to pain management by the end of the certification. During HOSHV#1 it was noted the following goals were not individualized without an outcome time frame: maximize quality of life and dignity as the dementia progresses, and maintain safety. During HOSRR#10 it was noted goals were not individualized and lacked outcome dates: nutrition: intake appropriate for disease process, neuro: symptoms not producing discomfort, coping: verbalizes fear and anxiety, utilizes available strength and support, safety: implement interventions to reduce falls based on pat’s assessed risks, education:maximize pt/pcg understanding of anticipated changes and preparation for management of these needs.During HOSRR#9 it was noted goals that were not individualized and lacked outcome dates: safety: demonstrate use of 02, pt will sustain no falls, education: pt will verbalize understanding of teaching provided on med admin reason, purpose including expected outcome (no date to accomplish). During HOSRR#8 it was noted the following goals that were not individualized and lacked outcome dates: cardio/pulmonary: use 0xygen properly. pt/CG verbalizes understanding of instruction intervention, GI:, pt will not experience any distressing symptoms related to poor appetite, coping: verbalizes fear and anxiety, utilizes available strengths and support related to coping, safety: oxygen safety. This was discussed with the DPCS and leadership.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 577 words
“Observed in Record Review. In 2 of 14 patient records reviewed, During HOSHV#2 it was noted the patient complained of back pain with a physician order for Salon-pas transdermal patch that was not discussed at the IDG meeting 5 days later. During HOSHV#1 record review it was noted lack of an update to the POC during an IDG meeting 2 days after it was documented the patient sustained a skin tear to his right hand the end of January 2025. This was discussed with the DPCS. Observed in Record Review. In 10 of 14 patient records reviewed, During HOSRR#1 it was noted on the RN initial assessment, the patient was at a risk of aspiration and had a wet sounding cough and wheezing left upper lobe. The POC lacked interventions related to aspiration precautions and interventions related to the documented respiratory deficit. During HOSRR#2 it was noted the RN initial evaluation documented the pt.’s cardiac status was stable with normal heart sounds, no edema, peripheral pulse present 4 extremities and the respiratory assessment with breathing normal on room air, absence of dyspnea however there were interventions on the POC related to cardio pulmonary deficits and interventions documented on oxygen use and safety although there was lack of a documented order for oxygen therapy. In addition, the patient’s terminal dx was Alzheimer’s disease however the POC lacked neuro-mental interventions. During HOSHV#2 it was noted the patient had volunteer visits 2-4x/month since 2024 however there was lack of interventions for the volunteer on the POC. The patient was assessed to be at a moderate nutritional risk during the initial RN assessment however nutrition interventions were not added to the POC. There were interventions on the POC for oxygen safety, however there was lack of documentation for an order for oxygen therapy. During HOSRR#5 it was noted the POC lacked instruction on aspiration precautions and had assessment of pain status however there was lack of interventions to accomplish the pain goals. During HOSRR#6 it was noted the patient was assessed to have difficulty swallowing and dysphagia was listed as a diagnosis however the POC lacked instruction on aspiration precautions. The cardiac status on the comprehensive RN initial assessment was documented without any deficits identified and no cardiac medications listed on the medication profile however there were cardiac interventions added to the POC. During HOSRR#7 it was noted aspiration risk on an IDG note the middle of March 2025, the patient was losing weight with weights documented and had been prescribed antibiotics for a URI. There was lack of a documented update to the POC that included nutrition and respiratory interventions. During HOSRR#8 it was noted on the RN initial assessment breathing labored with dyspnea after 20 feet 02 2L continuous however the POC lacked respiratory interventions. During HOSHV#1 record review it was noted the patient had a skin tear to this right hand the end of January 2025 with dressing change orders from the physician. Skin/wound care interventions were not added to the POC. In addition there were oxygen interventions on the POC however there was no order for oxygen therapy. During HOSRR#9 it was noted lack of interventions on aspiration precautions. During HOSHV#3 it was noted documentation that the patient was at risk for aspiration in March 2025 and a new order for Keppra in May 2025 for seizure activity without interventions added to the POC to address aspiration risk and seizure activity. This was discussed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 1 of 14 patient records reviewed, During HOSHV#2 it was noted lack of volunteer service frequency of visits on the recertification in March 2025 and May 2025. This was discussed with the DPCS.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 14 patient records reviewed, During HOSRR#1 it was noted a goal on the POC Facility staff will verbalize understanding of oxygen use as directed by MD each visit however there was lack of documentation of an order for oxygen therapy that included liter flow and frequency for use. This was discussed with the DPCS.”
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Program data (42 CFR 418.58(b)(2)(ii))
“Observed in Data Session. During review of QAPI reporting data it was noted the organization has a process to identify patient complaints however there was lack of reporting and analysis documented at QAPI meetings. The organization collected data on their volunteer program that included use and cost savings of the program however the data was not presented at QAPI meetings. This was discussed with the leadership.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 1 of 11 HR files reviewed, During HR#10 file review it was noted lack of an initial competency for the bereavement coordinator. This was discussed with the DPCS.”
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Content (42 CFR 418.104(a)(7))
“Observed in Record Review. In 1 of 14 patient records reviewed, During HOSHV#3 it was noted during the SN visits lack of documentation of the wound care procedure. The documentation stated wound care performed per order. This was discussed with the DPCS.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))
“Observed in Document Review. Although there was general education on the disposal of medications, information was not found in admission packet, or patient handbook that education was provided to patient and family about the organization’s written policies and procedures on the management and disposal of controlled medications. This was discussed with the administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 6, 2025 | Reaccreditation inspection by The Joint Commission | 11 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 6, 2003.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 14 nurse care minutes per routine home care day, 13.5% of skilled nursing minutes at weekends and a visit near death for 97.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 56% at home, 7% in assisted living, 11% in a nursing facility, 26% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.0 min |
| Skilled nursing minutes at weekends | 13.5% |
| Visits near death | 97.7% of patients who died |
Who owns it?
- Frank M Wronski Living Trust owns 30.72% directly since Dec 17, 2002; Mendlen Family Trust owns 30.72% directly since Dec 17, 2002; Eisenberg 2002 Family LLC owns 15.36% directly since Dec 17, 2002; Louis Eisenberg Investment Trust owns 5.56% directly since Jan 1, 2022; Anna Eisenberg Investment Trust owns 5.05% directly since Jan 1, 2022.
- 21 owners or officers are people: Frank M Wronski (owns 5% or more through other companies, 30.72%); Jill Mendlen (owns 5% or more through other companies, 15.36%); Richard Mendlen (owns 5% or more through other companies, 15.36%); Robin Eisenberg (owns 5% or more through other companies, 7.68%); Leo Eisenberg (owns 5% or more through other companies, 7.68%); Louis Eisenberg (owns 5% or more through other companies, 5.56%); Anna Eisenberg (owns 5% or more through other companies, 5.05%); Pamela Hough (owns 5% or more directly, 5%); Maxwell Eisenberg (other role (CMS gives no detail), 4.74%); Sandra Bonet (other role (CMS gives no detail), 2.85%); Emmet W Lee (managing employee (under contract)); Angelina Winslettt (managing employee (on the payroll)); Pamela Hough (corporate officer); Pamela Hough (managing employee (on the payroll)); Pamela Hough (runs it (operational or managerial control)); Alicia Mertz (managing employee (on the payroll)); Jill Mendlen (corporate officer); Jill Mendlen (managing employee (on the payroll)); Jill Mendlen (runs it (operational or managerial control)); Leo Eisenberg (corporate officer); Frank M Wronski (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Frank M Wronski Living Trust | Owns 5% or more directly | 30.72% | Dec 17, 2002 |
| Mendlen Family Trust | Owns 5% or more directly | 30.72% | Dec 17, 2002 |
| Eisenberg 2002 Family LLC | Owns 5% or more directly | 15.36% | Dec 17, 2002 |
| Louis Eisenberg Investment Trust | Owns 5% or more directly | 5.56% | Jan 1, 2022 |
| Anna Eisenberg Investment Trust | Owns 5% or more directly | 5.05% | Jan 1, 2022 |
| Maxwell Eisenberg Investment Trust | Other role (CMS gives no detail) | 4.74% | Jan 1, 2022 |
| Sandra Bonet Trust | Other role (CMS gives no detail) | 2.85% | Dec 17, 2002 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.06% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 48.7% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 9 of 10 |
How does it compare nearby?
- Of the 16 hospices CMS’s data show serving patients in ZIP code 92121, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 10.5; this one had 11.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Lightbridge Hospice This hospice | 11 |
| Hospice of the South Coast LLC | 6 |
| Sea Coast Hospice Care Inc. | 3 |
| Blue Monarch Hospice | 17 |
| Goodwill Healthcare Services, Inc. | 12 |
| Sharp Hospicecare | 12 |
| Silverado Hospice San Diego | 6 |
| Accentcare Hospice & Palliative Care of California | 6 |
| Apreva Hospice | 10 |
| Mission Hospice Services of San Diego LLC | 3 |
| Comfort and Peace Hospice | 11 |
| Topkare Hospice Inc. | 7 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
-
Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.