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Celebrity Home Health

(909) 931-3888942 W Foothill Blvd Suite B, Upland, CA 91786
CMS Certification Number 058439 · Proprietary · Medicare-certified since 02/07/2008
13deficiencies since 2018
2serious
4inspections
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 2025-06-24

· Complaint · no deficiencies cited · CMS source report (PDF)

Inspection 2024-03-08

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The facility failed to ensure patient medical supplies were appropriate for use when multiple supplies were expired, not removed from the storage area, and were available for use on patients.

Source: CMS Form 2567, inspection 2024-03-08, tag G0682 · view on CMS
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Moderate Infection Control

The facility failed to provide evidence one of five sampled staff members (Physical Therapist 1- PT 1) was screened for tuberculosis (a potentially serious infectious bacterial disease that mainly affects the lungs) as specified in the facility’s policy and procedure.

Source: CMS Form 2567, inspection 2024-03-08, tag G0684 · view on CMS
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Minor A Review Of All Current Medications

The facility failed to ensure nursing staff performed a review and reconciliation of all medications for three of three sampled patients (Patients 1, 2, and 3).

Source: CMS Form 2567, inspection 2024-03-08, tag G0536 · view on CMS
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Minor Ensure That Hha Employs Qualified Personnel

The facility failed to ensure criminal background checks for 3 of 5 sampled staff were performed on employees as specified in their policy and procedure when the facility utilized a background check service which included a disclaimer specifying it was not to be used for employment verification…

Source: CMS Form 2567, inspection 2024-03-08, tag G0952 · view on CMS
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Inspection 2023-10-12

· Complaint · 2 deficiencies · CMS source report (PDF)
Serious Patient Rights

The agency failed to ensure that the Condition of Participation: G 406 484.50: Patient rights was in compliance as follows: Based on interview and record review the agency failed to discharge patients when an Assisted Living Facility (ALF-a living arrangement in which people with special needs…

Source: CMS Form 2567, inspection 2023-10-12, tag G0406 · view on CMS
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Minor Before Discharge For Cause Hha Must:

The agency failed to discharge patients when an Assisted Living Facility (ALF-a living arrangement in which people with special needs, especially seniors, live in a facility that provides help with everyday tasks such as bathing, dressing, and taking medication) where the patients lived had…

Source: CMS Form 2567, inspection 2023-10-12, tag G0462 · view on CMS
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Inspection 2019-09-06

· Recertification · 7 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

1. Based on interview and record review, the agency failed to conduct and document an agency based risk assessment.

Source: CMS Form 2567, inspection 2019-09-06, tag E0001 · view on CMS
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Moderate Plan Based On All Hazards Risk Assessment

The agency failed to conduct and document an agency based risk assessment (facility based includes, but not limited to, hazards specific to a facility based on the geographic location; patient population; facility type and potential surrounding community) in a universe of 14 patients.

Source: CMS Form 2567, inspection 2019-09-06, tag E0006 · view on CMS
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Moderate Local, State, Tribal Collaboration Process

The facility failed to collaborate with local, regional, State and Federal agency preparedness officials to cooperate in the planning efforts to maintain an integrated response during disaster or emergency for a universe of 14 agency patients and their staff.

Source: CMS Form 2567, inspection 2019-09-06, tag E0009 · view on CMS
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Moderate Primary/Alternate Means For Communication

The agency failed to develop a back-up plan in the event of communications (phone service) failure during a disaster or emergency, in a universe of 14 patients.

Source: CMS Form 2567, inspection 2019-09-06, tag E0032 · view on CMS
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Moderate Ep Testing Requirements

The agency failed to attend or set up a community based hands on emergency preparedness testing with local state and community emergency preparedness agencies in preparation for unforeseen emergency or disaster.

Source: CMS Form 2567, inspection 2019-09-06, tag E0039 · view on CMS
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Moderate Infection Prevention

The agency failed to ensure that infection prevention was implemented on three (3) of 3 patients visited (Patient 1, 2, and 3) when the following staff failed to place a barrier between their equipment bag and the patient home floor/table.

Source: CMS Form 2567, inspection 2019-09-06, tag G0682 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure that medications were properly reviewed and reconciled for one (1) of three (3) sample home visit patients (Patient 3).

Source: CMS Form 2567, inspection 2019-09-06, tag G0536 · view on CMS
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