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Blue Horizon Pk, Inc.

(747) 298-99987590 N Glenoaks Blvd, Burbank, CA 91504
CMS Certification Number 757992 · - · Medicare-certified since 06/20/2025
7deficiencies 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 2026-09-03

· Complaint · 7 deficiencies · CMS source report (PDF)
Moderate Written Instructions To Patient Include:

The Home Health Agency (HHA‑ an organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to provide copies of their individualized plan of care (a personalized document that outlines a patient's health conditions, specific goals, and the medical or…

Source: CMS Form 2567, inspection 2026-09-03, tag G0612 · view on CMS
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Moderate Home Health Aide Assignments And Duties

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to develop and implement a plan of care (a structured, individualized document that outlines the medical and supportive services a patient needs) for the certified home health aide providing…

Source: CMS Form 2567, inspection 2026-09-03, tag G0798 · view on CMS
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Minor A Review Of All Current Medications

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to maintain an updated medication profile (med profile-a complete, up-to-date record of all the prescription drugs, over-the-counter medicines, vitamins, and herbal supplements a person takes)…

Source: CMS Form 2567, inspection 2026-09-03, tag G0536 · view on CMS
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Minor Patient Medication Schedule/Instructions

The Home Health Agency (HHA- an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to provide copies of Medication Profile (an organized, up-to-date record of all the medicines a person takes) to two of seven sampled patients (Patients 1 and 5).

Source: CMS Form 2567, inspection 2026-09-03, tag G0616 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to complete and document a supervisory assessment of the certified home health aide for one of seven sampled patients (Patient 5).

Source: CMS Form 2567, inspection 2026-09-03, tag G0808 · view on CMS
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Minor Required Items In Clinical Record

The Home Health Agency (HHA- an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that three of seven sampled patients (Patients 1, 3 and 5) had complete and accurate clinical records.

Source: CMS Form 2567, inspection 2026-09-03, tag G1012 · view on CMS
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Minor Contact Information For The Patient

The Home Health Agency (HHA- an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to document Patient Profile (face sheet -a document of a patient’s personal information such as diagnoses, date of birth, and address) for one of seven sampled…

Source: CMS Form 2567, inspection 2026-09-03, tag G1018 · view on CMS
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