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Happy Life Home Health Care, Inc

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
517 E Wilson Ave Suite 105, Glendale, CA 91206
CMS Certification Number 559720
27deficiencies since 2018
5serious
3inspections
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 2024-11-15

· Complaint · 2 deficiencies · CMS source report (PDF)
Minor Revised Plan Of Care

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to revise one of ten sample patients (Patient 29) individualized plan of care to reflect current information.

Source: CMS Form 2567, inspection 2024-11-15, tag G0592 · view on CMS
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Minor Patients Receive Education And Training

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure one of 10 sampled patients (Patient 33) receive education and training how to change the urinary drainage bag for the indwelling catheter (a tube that drains urine from the bladder).

Source: CMS Form 2567, inspection 2024-11-15, tag G0610 · view on CMS
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Inspection 2024-09-14

· Complaint · 5 deficiencies · CMS source report (PDF)
Serious Comprehensive Assessment Of Patients

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation for Comprehensive Assessment of Patients was met as follows: The HHA failed to review and maintain an accurate and current medication profile (a…

Source: CMS Form 2567, inspection 2024-09-14, tag G0510 · view on CMS
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Serious Skilled Professional Services

The home health agency (HHA) failed to meet the Conditions of Participations for Skilled Professional services, as follows: 1. Ensure blood sugar was monitored and documented in the clinical record for one of 10 sampled patients (Patient 27) Refer to G710 2. Ensure the current medications were…

Source: CMS Form 2567, inspection 2024-09-14, tag G0700 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency (HHA) failed to obtain a physician's order for medications for one out of 10 sampled patients (Patient 18).

Source: CMS Form 2567, inspection 2024-09-14, tag G0580 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

The home health agency (HHA- an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the current medications were listed in the patient's medication profile for 3 of 10 sampled patients, (Patient 23, 24 and 27).

Source: CMS Form 2567, inspection 2024-09-14, tag G0706 · view on CMS
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Minor Provide Services In The Plan Of Care

The home health agency (HHA an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to: 1. Ensure Patient 27’s blood sugar was monitored and documented in the clinical record for one of 10 sampled patients (Patient 27) 2. Ensure to follow the…

Source: CMS Form 2567, inspection 2024-09-14, tag G0710 · view on CMS
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Inspection 2024-04-12

· Complaint · 20 deficiencies · CMS source report (PDF)
Serious Condition Of Participation: Patient Rights.

The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Patient Rights was met as follows: Based on interview and record review, the Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Patient Rights was met as follows: 1. The Home…

Source: CMS Form 2567, inspection 2024-04-12, tag G0406 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Care Planning, Coordination, Quality of Care was met as follows: The Home Health Agency (HHA) failed to ensure the individualized Plans of Care (POC) were implemented for five of 17 sampled patients (Patient 1…

Source: CMS Form 2567, inspection 2024-04-12, tag G0570 · view on CMS
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Serious Clinical Records

The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Clinical Records are met as follows: Failed to ensure patient care records were safeguarded against unauthorized used for seven of 17 sampled patients (Patient 2, Patient 3, Patient 4, Patient 6, Patient 7…

Source: CMS Form 2567, inspection 2024-04-12, tag G1008 · view on CMS
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Moderate Plan Of Care

The Home Health Agency (HHA) failed to ensure the individualized Plans of Care (POC) were implemented for five of 17 sampled patients (Patient 1, Patient 2, Patient 4, Patient 6, and Patient 11).

Source: CMS Form 2567, inspection 2024-04-12, tag G0572 · view on CMS
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Moderate Written Instructions To Patient Include:

The Home Health Agency (HHA) failed to ensure written information regarding the patient’s care was provided for three of 17 sampled patients (Patient 1, Patient 4 and Patient 11).

Source: CMS Form 2567, inspection 2024-04-12, tag G0612 · view on CMS
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Moderate Protection Of Records

The Home Health Agency (HHA) failed to ensure patient care records were safeguarded against unauthorized used for seven of 17 sampled patients (Patient 2, Patient 3, Patient 4, Patient 6, Patient 7, Patient 9, and Patient 16).

Source: CMS Form 2567, inspection 2024-04-12, tag G1028 · view on CMS
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Minor Participate In Care

The Home Health Agency (HHA) failed to ensure one of 17 sampled patients (Patient 16) was informed of all aspects of the planned care and services, and the way the care and services will be delivered by the HHA.

Source: CMS Form 2567, inspection 2024-04-12, tag G0434 · view on CMS
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Minor Have A Confidential Clinical Record

The Home Health Agency (HHA) failed to ensure seven (7) of 17 sampled patients (Patient 2, Patient 3, Patient 4, Patient 6, Patient 7, Patient 9, and Patient 16) clinical records were kept confidential and accessed only by authorized and qualified personnel of the HHA.

Source: CMS Form 2567, inspection 2024-04-12, tag G0438 · view on CMS
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Minor State Toll Free Hh Telephone Hotline

The Home Health Agency (HHA) failed to ensure twelve of 17 sampled patients (Patient 2, Patient 3, Patient 4, Patient 6, Patient 7, Patient 9, Patient 11, Patient 12, Patient 13, Patient 15, Patient 16, and Patient 17) received information regarding the State toll free home health contact…

Source: CMS Form 2567, inspection 2024-04-12, tag G0444 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The Home Health Agency (HHA) failed to ensure twelve of 17 sampled patients (Patient 2, Patient 3, Patient 4, Patient 6, Patient 7, Patient 9, Patient 11, Patient 12, Patient 13, Patient 15, Patient 16, and Patient 17) received information on Federal and State funded entities available in the areas…

Source: CMS Form 2567, inspection 2024-04-12, tag G0446 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency (HHA) failed to review and document all the current medications and treatments for four of 17 sampled patients (Patient 3, Patient 4, Patient 11, and Patient 15).

Source: CMS Form 2567, inspection 2024-04-12, tag G0536 · view on CMS
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Minor At Discharge

The HHA failed to ensure a discharge comprehensive assessment including OASIS was completed for one of 17 sample patients (Patient 8) within 2 days of patient's discharge.

Source: CMS Form 2567, inspection 2024-04-12, tag G0550 · view on CMS
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Minor Plan Of Care Must Include The Following

The Home Health Agency (HHA) failed to include the disciplines and the visit frequencies in the plan of care (POC) for one of 17 sampled patients (Patient 9).

Source: CMS Form 2567, inspection 2024-04-12, tag G0574 · view on CMS
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Minor All Orders Recorded In Plan Of Care

The Home Health Agency (HHA) failed to ensure all physician orders were recorded in the individualized plan of care for 3 of 17 sampled patients (Patient 2, Patient 11, and Patient 12).

Source: CMS Form 2567, inspection 2024-04-12, tag G0576 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The Home Health Agency (HHA) failed to promptly alert the physician for 2 of 17 sample patients (Patient 3, Patient 4) of their changes of condition and patient care outcomes are being achieved or met.

Source: CMS Form 2567, inspection 2024-04-12, tag G0590 · view on CMS
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Minor Integrate All Services

The Home Health Agency (HHA) failed to integrate all services in accordance with the written plan of care for one of 17 sample patients (Patient 2).

Source: CMS Form 2567, inspection 2024-04-12, tag G0606 · view on CMS
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Minor Visit Schedule

The Home Health Agency (HHA) failed to provide one of 17 sample patients (Patient 9) written information of the disciplines involved in their care and their visit frequency.

Source: CMS Form 2567, inspection 2024-04-12, tag G0614 · view on CMS
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Minor Responsible For All Day-To-Day Operations

The Home Health Agency (HHA) failed to ensure the administrator confirmed the HHA was approved in providing services outside of the approved Geographic Service Area (GSA) for three of 17 sampled patients (Patient 5, Patient 16, and Patient 17).

Source: CMS Form 2567, inspection 2024-04-12, tag G0948 · view on CMS
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Minor Must Have A Written Agreement

The Home Health Agency (HHA) failed to ensure they had a written service agreement for two of 17 sample patients (Patient 3 and Patient 4).

Source: CMS Form 2567, inspection 2024-04-12, tag G0978 · view on CMS
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Minor Required Items In Clinical Record

The Home Health Agency (HHA) failed to ensure three of 17 sampled patients (Patient 2, Patient 3, and Patient 14) clinical records included completed clinical notes of all services provided.

Source: CMS Form 2567, inspection 2024-04-12, tag G1012 · view on CMS
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