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Lavanda Home Health Care Agency, Inc

(818) 840-00033033 N Avon Street Suite a, Burbank, CA 91504
CMS Certification Number 058334 · Proprietary · Medicare-certified since 06/16/2006
8deficiencies 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 2018-07-12

· Recertification, Sample Validation · 8 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The Home Health Agency staff failed to ensure care followed the written plan of care (POC) established by the physician for three of seven sampled patients (Patients 2, 4 and 7).

Source: CMS Form 2567, inspection 2018-07-12, tag G0572 · view on CMS
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Moderate Infection Control

The skilled nurse (SN) failed to prepare equipment and materials for wound treatment and maintain aseptic technique (free from contamination, to prevent spread of infection), as required, when providing wound care for one of seven sample patients (Patient 4).

Source: CMS Form 2567, inspection 2018-07-12, tag G0684 · view on CMS
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Minor Rn Performs Assessment

The agency nursing staff failed to assess a patient's renal dialysis status when comprehensive assessment was conducted for one of seven sample patient (Patient 1).

Source: CMS Form 2567, inspection 2018-07-12, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

The home health agency (HHA) staff failed to review all the medications and update the medication profile with currently used medications for one of seven sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2018-07-12, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency staff failed to ensure the plan of care (POC) developed for one of seven sampled patients (Patients 1) covered all pertinent diagnoses.

Source: CMS Form 2567, inspection 2018-07-12, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency (HHA)skilled nurses failed to administer treatment as ordered by the physician for one of seven sample patients (Patient 6).

Source: CMS Form 2567, inspection 2018-07-12, tag G0580 · view on CMS
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Minor Patients Receive Education And Training

The HHA skilled nurse (SN) failed to provide instruction regarding storage of insulin for one of seven sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2018-07-12, tag G0610 · view on CMS
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Minor In Accordance With Current Clinical Practice

The facility failed to ensure their medical supplies were not expired when stored in their medical storage area.

Source: CMS Form 2567, inspection 2018-07-12, tag G0984 · view on CMS
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