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Adventist Health Home Care Services

(707) 961-1234700 River Drive, Fort Bragg, CA 95437
CMS Certification Number 057746 · Non-Profit · Medicare-certified since 07/02/1986
7deficiencies since 2018
0serious
2inspections
3CMS 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 2024-08-15

· Recertification · 4 deficiencies · CMS source report (PDF)
Minor Rn Performs Assessment

The agency failed to ensure one of 8 sampled patients (Patient 6) initial assessment visit was done within 48 hours of referral and as per physician's request.

Source: CMS Form 2567, inspection 2024-08-15, tag G0514 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to provide services ordered by the physician as indicated in the Plan of Care (POC) for three of 8 sampled patients (Patient 3, Patient 7, and Patient 5), when the patients did not receive Medical Social Work (MSW) and Occupational Therapy (OT) services.

Source: CMS Form 2567, inspection 2024-08-15, tag G0710 · view on CMS
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Minor Communication With Physicians

The agency failed to ensure the physician was notified of missed visits for three of 8 sampled patients (Patient 3, Patient 7, and Patient 5), when the physician was not informed that the three patients did not receive Medical Social Work (MSW) and Occupational Therapy (OT) services.

Source: CMS Form 2567, inspection 2024-08-15, tag G0718 · view on CMS
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Minor Nursing Services Supervised By Rn

The Home Health Agency (HHA) failed to provide RN (Registered Nurse) supervision to LVN (Licensed Vocational Nurse) for one of eight sampled patients (Patient 8), when Patient 8 did not have an RN supervisory visit from 4/6/24 to 8/15/24. This failure had the risk potential for Patient 8's care…

Source: CMS Form 2567, inspection 2024-08-15, tag G0726 · view on CMS
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Inspection 2018-02-15

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The facility failed to ensure staff followed accepted Infection Control standards for 1 of 10 patients, when a Physical Therapist (PT A) placed her bag directly on Patient 2's bed (Patient #2), without a clean barrier between the bag and the bed.

Source: CMS Form 2567, inspection 2018-02-15, tag G0682 · view on CMS
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Minor Rn Performs Assessment

The facility failed to ensure the initial assessment visit was conducted within 48 hours from the date of referral for 1 of 10 patients (Patient #10).

Source: CMS Form 2567, inspection 2018-02-15, tag G0514 · view on CMS
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Minor Reviewed, Revised By Physician Every 60 Days

The agency failed to ensure the physician's 60-day review for 1 of 10 sampled patients (Patient 8).

Source: CMS Form 2567, inspection 2018-02-15, tag G0588 · view on CMS
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