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Lifelink Health Providers, Inc

(626) 387-9650211 W Foothill Blvd, Suite a, Glendora, CA 91741
CMS Certification Number 059067 · Proprietary · Medicare-certified since 05/04/2009
22deficiencies since 2018
3serious
3inspections
2.5CMS 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 2026-01-16

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Written Instructions To Patient Include:

To individuals in their homes) failed to provide written information regarding the plan of care (POC, a mandatory, written, and patient-specific document that outlines necessary medical, rehabilitative, and supportive services to treat an injury or illness at home) for two of 13 sample patients…

Source: CMS Form 2567, inspection 2026-01-16, tag G0612 · view on CMS
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Minor A Review Of All Current Medications

To individuals in their homes) failed to review and document medications and treatments the patients were receiving for three of 13 sampled patients (Patient 2, Patient 3 and Patient 7).

Source: CMS Form 2567, inspection 2026-01-16, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

To individuals in their homes) failed to include information required in the plan of care (POC, a mandatory, written, and patient-specific document that outlines necessary medical, rehabilitative, and supportive services to treat an injury or illness at home) for three of 13 sampled patients…

Source: CMS Form 2567, inspection 2026-01-16, tag G0574 · view on CMS
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Inspection 2022-10-28

· Recertification · 16 deficiencies · CMS source report (PDF)
Serious Patient Rights

The Home Health Agency (HHA) failed to ensure that the Condition of Participation regarding Patients’ rights was met as follows: 1. The Home Health Agency (HHA) failed to provide the Patient’s Rights notice in advance, and in a language written that is understandable by persons who have limited…

Source: CMS Form 2567, inspection 2022-10-28, tag G0406 · view on CMS
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Serious Comprehensive Assessment Of Patients

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to ensure the comprehensive assessment (an assessment to identify the physical, psychosocial, emotional, and spiritual needs related to the terminal…

Source: CMS Form 2567, inspection 2022-10-28, tag G0510 · 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: 1.The Home Health Agency (HHA) failed to ensure plan of care (POC, documents the process of identifying a patient's needs and facilitating holistic…

Source: CMS Form 2567, inspection 2022-10-28, tag G0570 · view on CMS
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Moderate Plan Of Care

The Home Health Agency (HHA) failed to ensure a plan of care (POC, documents the process of identifying a patient's needs and facilitating holistic care and ensures collaboration among nurses, patients, and other healthcare providers) were developed for two of seven sampled patients (Patients 1 and…

Source: CMS Form 2567, inspection 2022-10-28, tag G0572 · view on CMS
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Moderate Written Instructions To Patient Include:

The Home Health Agency (HHA) failed to provide written information regarding the plan of care (POC, documents the process of identifying a patient's needs and facilitating holistic care and ensures collaboration among nurses, patients, and other healthcare providers) for two of seven sampled…

Source: CMS Form 2567, inspection 2022-10-28, tag G0612 · view on CMS
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Minor Written Notice Of Patient'S Rights

The Home Health Agency (HHA) failed to provide the Patient’s Rights notice in advance, and in a language written that is understandable by persons who have limited english proficiency for one of seven sampled patients (Patient 1).

Source: CMS Form 2567, inspection 2022-10-28, tag G0412 · view on CMS
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Minor Hha Administrator Contact Information

The Home Health Agency (HHA) failed to provide the contact information of the HHA administrator, including the administrator’s name, business address, and business phone number to receive complaints, for two of seven sampled patients (Patient 1 and Patient 4).

Source: CMS Form 2567, inspection 2022-10-28, tag G0414 · view on CMS
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Minor Patient'S Or Legal Representative'S Signature

The Home Health Agency (HHA) failed to obtain a signature to confirm that one of seven sampled patients (Patient 1) had received a copy of the notice of rights and responsibilities.

Source: CMS Form 2567, inspection 2022-10-28, tag G0418 · view on CMS
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Minor Receive All Services In Plan Of Care

The Home Health Agency (HHA) failed to provide services as outlined in the plan of care for two of seven sampled patients, (Patient 2 and Patient 4).

Source: CMS Form 2567, inspection 2022-10-28, tag G0436 · view on CMS
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Minor 5 Calendar Days After Start Of Care

The Home Health Agency (HHA) failed to ensure the comprehensive assessment (an assessment to identify the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient's well-being, comfort, and dignity…

Source: CMS Form 2567, inspection 2022-10-28, tag G0520 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency (HHA) failed to ensure that all current medications and treatments were reviewed and documented, and medication lists were available for two of seven sampled patients (Patients 1 and Patient 4).

Source: CMS Form 2567, inspection 2022-10-28, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The Home Health Agency (HHA) failed to ensure pertinent information necessary were included in the plan of care for two of seven sampled patients, (Patient 1 and Patient 4).

Source: CMS Form 2567, inspection 2022-10-28, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The Home Health Agency (HHA) failed to ensure the correct amount of anticlotting medication was administered to the Port-A-Cath (a device used to draw blood and give treatment, including administration of intravenous fluids and medications) as ordered by the physician for two of seven sampled…

Source: CMS Form 2567, inspection 2022-10-28, tag G0580 · view on CMS
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Minor Assure Implementation Of Plan Of Care

The Home Health Agency Administrator failed to ensure the individualized plan of care (POC) was developed for one of seven sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2022-10-28, tag G0968 · view on CMS
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Minor Interventions And Patient Response

The Home Health Agency (HHA) failed to document medication administration, interventions and the response for one of seven sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2022-10-28, tag G1014 · view on CMS
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Minor Discharge And Transfer Summaries

The Home Health Agency (HHA) failed to send all necessary medical information to the primary care practitioner within five days of discharge for three of seven sampled patients (Patient 3, Patient 6, and Patient 7).

Source: CMS Form 2567, inspection 2022-10-28, tag G1022 · view on CMS
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Inspection 2019-04-05

· Recertification · 3 deficiencies · CMS source report (PDF)
Minor Nursing Services Supervised By Rn

The agency failed to ensure Licensed Vocational Nursing (LVN) services were supervised on-site by a Registered Nurse (RN) for two of 14 patients reviewed (Patients 6 and 10).

Source: CMS Form 2567, inspection 2019-04-05, tag G0726 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure a Registered Nurse (RN) supervised Certified Home Health Aide (CHHA) services in the patient's place of residence, for three of 14 patients reviewed (Patients 5, 2, and 10).

Source: CMS Form 2567, inspection 2019-04-05, tag G0808 · view on CMS
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Minor In Accordance With Current Clinical Practice

The agency failed to ensure expired medical supplies were not readily available for use.

Source: CMS Form 2567, inspection 2019-04-05, tag G0984 · view on CMS
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