Providence Hospice Inland Empire
A hospice in Rancho Cucamonga, California 91730
8560 Vineyard Ave, Suite 516, Rancho Cucamonga, California 91730. (909) 527-4392.
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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.
- 7 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
7 deficiencies cited in the last three years
The middle of the 170 hospices serving ZIP code 91730 had 7.
The last inspection on record was on Apr 18, 2024: 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
7 deficiencies in 1 month of the last 36. Last cited Apr 2024. 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.
Apr 18, 2024: reaccreditation inspection by The Joint Commission7 deficiencies
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EP Training Program (42 CFR 418.113(d)(1)(iii))
“Observed in Competency Session. A review of 4 of 4 Human Resource files, for staff requiring ongoing education, revealed that the organization did not ensure ongoing education and training related to emergency preparedness was provided as required. For example, during a review of the Human Resource files for Registered Nurse #1, Hospice Aide #1, Chaplain #1, and Registered Nurse #3, it was noted that emergency preparedness training was not provided at least every two years. This observation was reviewed with agency leadership.
”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 143 words
“Observed in Record Review. During a review of 2 of 14 patient records, it was noted that the organization did not ensure the comprehensive assessment update included all required information, in that it’s policy for wound assessment was not implemented. For example, a review of the medical record for RRHV#1, revealed that during the update to the comprehensive assessment [5th benefit period], the clinician documented the presence of a stage 2 wound at coccyx. The assessment did not include wound measurements, the condition of the wound bed, and surrounding tissue. 

Example #2: A review of the medical record for RRNHV#2, revealed that the comprehensive assessment [1st benefit period], the clinician documented the presence of a stage 1 wound at coccyx. The assessment did not include wound measurements, the condition of the wound bed, and surrounding tissue. This observation was reviewed with agency leadership.”
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Plan of care (42 CFR 418.56(b ))
The inspectors’ words, 95 words
“Observed in Record Review. In 1 of 14 patient records reviewed, it was noted that the organization did not ensure the plan of care goals included outcome measures for specific care activities. For example, a review of the medical record for RRHV#3, revealed that during week 8 of the 15th benefit period the clinician documented that the patient was treated for a respiratory infection with oral antibiotics and cough syrup. The plan of care was not updated with a goal statement related to the problem of respiratory infection. This observation was reviewed with agency leadership.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 144 words
“Observed in Record Review. In 2 of 14 patient record reviewed, it was noted that the organization did not ensure that the plan of care was revised when the patient’s condition changed. For example, a review of the medical record for RRHV#3, revealed that during week 8 of the 15th benefit period the clinician documented that the patient was treated for a respiratory infection with oral antibiotics and cough syrup. The plan of care was not updated with interventions to manage symptoms related to the problem of respiratory infection. 

Example #2: A review of the medical record for RRHV#4, revealed that during week 6 of the 7th benefit period, the clinician documented the patient experienced a fall with injury. The plan of care was not updated with interventions to maintain patient safety, and strategies to prevent injury. This observation was reviewed with agency leadership.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 1 of 2 Human Resource files reviewed, it was noted that all requirements related to competence were not implemented. For example, during a review of the Human Resource file for Volunteer #1, it was noted that competence was not initially assessed and documented as a part of orientation. This observation was reviewed with agency leadership.
”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(i))
“Observed in Record Review. In 1 of 2 patient records reviewed, for patients discharged or transferred from the organization, it was noted that the discharge/transfer summary did not include all required information; the patient’s current plan of care; the patient’s latest physician orders; and documentation that will assist in post-discharge continuity of care. For example, a review of the discharge/transfer summary for RRDC#1, did not include a summary of the patient’s stay, including treatments, symptoms, and pain management. This observation was reviewed with agency leadership.
”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Individual Tracer. During 1 of 4 Individual Tracers, the Hospice Surveyor was not able to validate that a plan to provide education regarding procedures to follow if care, treatment, or services are disrupted by a natural disaster or and emergency was established. For example, during a review of patient education information in the home for RRHV#1, an individualized disaster/emergency management plan was not identified.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 18, 2024 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 25, 2015.
- Ownership: non-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): 16.6 nurse care minutes per routine home care day, 11.7% of skilled nursing minutes at weekends and a visit near death for 95.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 98% at home, 1% in assisted living, 1% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 16.6 min |
| Skilled nursing minutes at weekends | 11.7% |
| Visits near death | 95.5% of patients who died |
Who owns it?
- Providence Health & Services - Washington runs it.
- 17 owners or officers are people: Dwight Story Fullerton (corporate director); Paul Edward Swafford (corporate director, 0%); John R Hawes (managing employee (under contract), 0%); Terri P Warren (corporate officer, 0%); Janice Burger (corporate director, 0%); Terry Rogers (corporate director); Robert Mccann (corporate director); Jody Albright (corporate director); Nicole Sikes (managing employee (on the payroll)); Malisa J Westlund (corporate officer, 0%); James Zapp (corporate director); Larry Schecter (corporate director); Dianna Reely (corporate director, 0%); Donald Wayne Anderson (corporate officer); Rachel Arrington (corporate officer); Shayna Stiles (managing employee (on the payroll), 0%); Tammy Neu (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| Providence Health & Services - Washington | Runs it (operational or managerial control) | 0% | Oct 7, 2020 |
| St. Joseph Health System | Other role (CMS gives no detail) | 0% | Oct 7, 2020 |
| Providence St. Joseph Health | Other role (CMS gives no detail) | 0% | Jul 1, 2016 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 51% 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 | Not rated |
| 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 | 10 of 10 |
How does it compare nearby?
- Of the 170 hospices CMS’s data show serving patients in ZIP code 91730, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 7.
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 |
|---|---|
| Rejuvenate Hospice Care Inc. | 14 |
| Manor Hospice | 6 |
| Bright Haven Hospice | 1 |
| Calcare Palliative Services | Not given |
| Shangrila Hospice | Not given |
| Hospice Care Providers Inc. | 11 |
| Providence Hospice Inland Empire This hospice | 7 |
| Caring Hands Hospice, Inc. | Not given |
| Good Heart Hospice & Palliative Care, Inc. | 13 |
| Geo Hospice Care, Inc. | 36 |
| Abbot Hospice Inc. | Not given |
| Sacred Passion Hospice Care, Inc. | Not given |
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
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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.