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Camarillo Hhca Inc

(818) 345-220018107 Sherman Way, Suite 212, Reseda, CA 91335
CMS Certification Number 059641 · Proprietary · Medicare-certified since 11/18/2014
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 2018-02-13

· Recertification, Sample Validation · 5 deficiencies · CMS source report (PDF)
Minor Information To Patient

The HHA ( home health agency) staff failed to provide the patient and the patient's legal representative their written rights during the initial evaluation visit, in advance of furnishing care to the patient for 1 of 7 sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2018-02-13, tag G0410 · view on CMS
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Minor Receive All Services In Plan Of Care

The Home Health Agency (HHA) failed to conduct a thorough physical assessment of the patient's condition as outlined in the plan of care for 1 of 7 sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2018-02-13, tag G0436 · view on CMS
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Minor Only As Ordered By A Physician

The Home Health Agency (HHA) staff failed to administer the treatment as ordered by the physician for 1 of 7 sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2018-02-13, tag G0580 · view on CMS
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Minor Patient Medication Schedule/Instructions

The Home Health Agency's skilled nurse failed to review all the current medications for two of 7 sample patients (Patient 2 and 4), to ensure the patients were receiving the prescribed medications and were instructed on the medication side effects, as ordered by the physician.

Source: CMS Form 2567, inspection 2018-02-13, tag G0616 · view on CMS
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Minor Goals In The Patient'S Plans Of Care

The Home Health Agency personnel failed to ensure their efforts were coordinated effectively for 2 of 7 patients (Patients 1 and 2).

Source: CMS Form 2567, inspection 2018-02-13, tag G1016 · view on CMS
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