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Health Services of the Pacific - Home Care

(671) 647-5356809 Chalan Pasaheru, Unit 2, Barrigada, GU 96913
CMS Certification Number 657004 · Proprietary · Medicare-certified since 01/05/2005
7deficiencies since 2018
2serious
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 2023-09-15

· Complaint · 3 deficiencies · CMS source report (PDF)
Serious Care Planning, Coordination, Quality Of Care

The home health agency (HHA) (1) failed to ensure care planning, coordination of services, and quality of care for one Patient (P)1. The HHA failed to ensure it could meet the patient's medical, nursing, rehabilitative, and social needs in his or her place of residence and could furnish needed…

Source: CMS Form 2567, inspection 2023-09-15, tag G0570 · view on CMS
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Moderate Conformance With Physician Orders

The agency failed to ensure nursing services were initiated as ordered by the provider for one Patient (P) P1 of seven Patients reviewed in the sample.

Source: CMS Form 2567, inspection 2023-09-15, tag G0578 · view on CMS
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Minor All Orders Recorded In Plan Of Care

The agency failed to include nursing services on the plan of care as ordered by the provider for one Patient (P) P1 of seven Patients reviewed in the sample.

Source: CMS Form 2567, inspection 2023-09-15, tag G0576 · view on CMS
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Inspection 2019-05-01

· Recertification · 4 deficiencies · CMS source report (PDF)
Serious Infection Prevention And Control

The Agency failed to ensure their policies and procedures, as well as training included accurate manufacturer directions for sanitizing equipment used on multiple patients.

Source: CMS Form 2567, inspection 2019-05-01, tag G0680 · view on CMS
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Moderate Plan Of Care

The Agency failed to contact the physician when the Staff were not able to follow the plan of care (POC) for frequency of visits for one of seven sampled patients (Pt 4).

Source: CMS Form 2567, inspection 2019-05-01, tag G0572 · view on CMS
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Moderate Infection Prevention

The Agency failed to ensure their policies and procedures, as well as training included accurate manufacturer directions for sanitizing equipment used on multiple patients.

Source: CMS Form 2567, inspection 2019-05-01, tag G0682 · view on CMS
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Minor All Orders Recorded In Plan Of Care

The facility failed to the accuracy of the Plan of Care for one of seven patients (Pt 4).

Source: CMS Form 2567, inspection 2019-05-01, tag G0576 · view on CMS
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