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In Home Care Group, LLC

(408) 226-31186830 Via del Oro, Suite 106A, San Jose, CA 95119
CMS Certification Number 059720 · Proprietary · Medicare-certified since 07/30/2016
7deficiencies since 2018
0serious
1inspections
4CMS 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 2018-01-12

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Notice Of Rights

The home health agency (HHA) failed to ensure written notice of patient's rights was provided in advance of furnishing care during the initial evaluation visit before the initiation of treatment for one of 10 sampled patients (10).

Source: CMS Form 2567, inspection 2018-01-12, tag G0102 · view on CMS
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Moderate Compliance W/ Accepted Professional Std

The home health agency (HHA) failed to follow current accepted professional standards of infection control practice when: 1. expired medical supplies were found in a medical supply cabinet, 2. physical therapist (PT) did not sanitize a thermometer after it fell on the floor and before returning it…

Source: CMS Form 2567, inspection 2018-01-12, tag G0121 · view on CMS
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Moderate Periodic Review Of Plan Of Care

The agency failed to alert the physician of changes which suggested a need to alter the plan of care for two of 10 sampled patients (4 and 5).

Source: CMS Form 2567, inspection 2018-01-12, tag G0164 · view on CMS
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Moderate Skilled Nursing Services

The agency failed to provide evidence the patients received skilled nursing services in accordance with the plan of care (POC) for six of 10 sampled patients (1,2,5,7,8,9).

Source: CMS Form 2567, inspection 2018-01-12, tag G0170 · view on CMS
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Moderate Clinical Records

The home health agency (HHA) failed to ensure clinical records were maintained in accordance with accepted professional standards when: 1. nurse's notes were not signed and dated for four out of 10 sampled patients (1, 2, 8, and 9) 2. physician's orders were not signed and dated for five out of 10…

Source: CMS Form 2567, inspection 2018-01-12, tag G0236 · view on CMS
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Moderate Initial Assessment Visit

The agency failed to ensure the initial clinical assessment was provided within 48 hours of the physician referral to the agency for two of ten sampled patients (4 and 5).

Source: CMS Form 2567, inspection 2018-01-12, tag G0332 · view on CMS
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Moderate Drug Regimen Review

The home health agency (HHA) failed to maintain and update the medication profile for two of 10 sampled patients (8 and 9).

Source: CMS Form 2567, inspection 2018-01-12, tag G0337 · view on CMS
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