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Customcare Home Health Services Inc

(916) 714-11558837 Elk Grove Blvd, Suite a, Elk Grove, CA 95624
CMS Certification Number 059666 · Proprietary · Medicare-certified since 06/04/2015
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 2026-06-18

· Complaint, Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The home health agency (HHA) failed to ensure the plans of care were implemented and/or reviewed and signed by a physician every 60 days for four out of eight sampled patients (Patient 1, Patient 5, Patient 6, and Patient 8).

Source: CMS Form 2567, inspection 2026-06-18, tag G0572 · view on CMS
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Moderate Infection Prevention

The Home Health Agency (HHA) failed to ensure that infection control practices were maintained for one out of eight sampled patients (Patient 1), when Skilled Nurse (SN) 1 did not utilize the bag technique for managing clinical supplies during a home health visit.

Source: CMS Form 2567, inspection 2026-06-18, tag G0682 · view on CMS
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Minor Patient'S Or Legal Representative'S Signature

The home health agency (HHA) failed to obtain signed written notice of patient rights and responsibilities for one out of eight sampled patients (Patient 6).

Source: CMS Form 2567, inspection 2026-06-18, tag G0418 · view on CMS
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Minor Participate In Care

The home health agency (HHA) failed to obtain signed informed consent for two out of eight sampled patients (Patient 1 and Patient 6) before collection of personal medical information and before provision of planned treatment and/or services.

Source: CMS Form 2567, inspection 2026-06-18, tag G0434 · view on CMS
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Minor Last 5 Days Of Every 60 Days Unless:

The home health agency (HHA) failed to update the comprehensive assessment on the last 5 days of the 60-day episode, beginning with the start-of-care date on two out of eight sampled patients (Patient 1 and Patient 4).

Source: CMS Form 2567, inspection 2026-06-18, tag G0546 · view on CMS
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Minor Reviewed, Revised By Physician Every 60 Days

The home health agency (HHA) failed to ensure the individualized plan of care were reviewed and revised by the physician or allowed practitioner once every 60 days, beginning with the start of care date for two out of eight sampled patients (Patients 1 and Patient 4).

Source: CMS Form 2567, inspection 2026-06-18, tag G0588 · view on CMS
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Minor Discharge And Transfer Summaries

The home health agency (HHA) failed to ensure a discharge summary was sent to the primary care practitioner (PCP) within five business days of their discharge from the agency for one out of eight sampled patients (Patient 6).

Source: CMS Form 2567, inspection 2026-06-18, tag G1022 · view on CMS
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