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La Homecare Provider Inc

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
2377 W. Foothill Blvd, Upland, CA 91786
CMS Certification Number 058186
3deficiencies since 2018
0serious
1inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2019-01-30

· Recertification · 3 deficiencies · CMS source report (PDF)
Minor A Review Of All Current Medications

The agency failed to ensure the medications listed on the patient's home medication profile and the agency's Plan of Care (POC) were updated and accurate for one of seven sampled patients (Patient 5), when: a.

Source: CMS Form 2567, inspection 2019-01-30, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the individualized Plan of Care (POC) for one of seven sampled patients (Patient 6) included the following: a) Accurate pertinent diagnoses, including seizures (convulsions); b) Orders for the skilled nurse (SN) to assess the hemodialysis (a process of removing waste…

Source: CMS Form 2567, inspection 2019-01-30, tag G0574 · view on CMS
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Minor Communication With Physicians

The agency failed to ensure the Skilled Nurse (SN) communicated with the physician for one of seven sampled patients (Patient 2), when: a) The SN did not communicate with the physician managing Patient 2's wound to ensure the goals outlined in Patient 2's plan of care (POC) were being met; and b)…

Source: CMS Form 2567, inspection 2019-01-30, tag G0718 · view on CMS
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