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Mad River Comm Hosp H C Srvs

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.
4605 Valley West Blvd, Arcata, CA 95521
CMS Certification Number 057524
4deficiencies since 2018
0serious
1inspections
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 2019-02-08

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The facility failed to ensure one of 17 sampled patients, Patient 4's, plan of care was followed when the Home Health Aide missed visits and the physician was not notified.

Source: CMS Form 2567, inspection 2019-02-08, tag G0572 · view on CMS
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Minor Only As Ordered By A Physician

The facility failed to ensure that one of five sampled patients, Patient 5, had a physician order for a pureed diet or thickening powder which was added to Patient 5's water and beverages.

Source: CMS Form 2567, inspection 2019-02-08, tag G0580 · view on CMS
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Minor Integrate All Services

The Agency professional staff failed to communicate that two of five patients, Patient 4 and Patient 6, went out into the community, jeopardizing their homebound status.

Source: CMS Form 2567, inspection 2019-02-08, tag G0606 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The Agency licensed staff failed to ensure that one of the six sampled patients with orders for a Home Health Aide, Patient 7, had the skilled nurse check in with Patient 7 at least every two weeks to ensure that their assigned Home Health Aide provided safe, good care in accordance with Patient…

Source: CMS Form 2567, inspection 2019-02-08, tag G0808 · view on CMS
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