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Adventist Health Home Care Services

(707) 994-07379245 Highway 53, Lower Lake, CA 95457
CMS Certification Number 057710 · Non-Profit · Medicare-certified since 09/20/1985
5deficiencies since 2018
0serious
1inspections
3.5CMS 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 2019-03-14

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Hha Comprehensive Assessment In Disaster

The Agency failed to ensure staff provided and recorded individualized patients' emergency/disaster plans.

Source: CMS Form 2567, inspection 2019-03-14, tag E0017 · view on CMS
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Minor Rn Performs Assessment

The Agency failed to ensure start-of-care (SOC) dates were within 48 hours of referral, and referral documentation was accurate, for one of 13 sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2019-03-14, tag G0514 · view on CMS
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Minor Provide Services In The Plan Of Care

The Agency failed to ensure staff documented reasons for four of 13 sampled patients' missed visits.

Source: CMS Form 2567, inspection 2019-03-14, tag G0710 · view on CMS
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Minor Communication With Physicians

The Agency failed to ensure staff reported missed visits to four of 13 sampled patients' physicians.

Source: CMS Form 2567, inspection 2019-03-14, tag G0718 · view on CMS
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Minor Must Have A Written Agreement

The Agency had a (MSW) social worker who currently provided services to patients, but whose contract had been expired since 2017. This failure had the potential that the Agency could be financially liable for any services provided, or for misconduct by the social worker, while treating patients in…

Source: CMS Form 2567, inspection 2019-03-14, tag G0978 · view on CMS
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