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Our Duty Home Health, Inc

(877) 789-805016133 Ventura Blvd Suite 1135, Encino, CA 91436
CMS Certification Number 559504 · Proprietary · Medicare-certified since 04/15/2021
15deficiencies since 2018
5serious
1inspections
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 2026-07-31

· Recertification · 15 deficiencies · CMS source report (PDF)
Serious Comprehensive Assessment Of Patients

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Comprehensive Assessment of…

Source: CMS Form 2567, inspection 2026-07-31, tag G0510 · view on CMS
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Serious Quality Assessment/Performance Improvement

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (the terms healthcare organizations must meet in order to participate in federally funded healthcare programs) compliance with Quality…

Source: CMS Form 2567, inspection 2026-07-31, tag G0640 · view on CMS
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Serious Infection Prevention And Control

Therapeutic care directly to patients in their own homes) failed to ensure the Conditions of Participations (COP - conditions that health care organizations must meet in order to begin and continue participating in the Medicare [a federal system of health insurance for people 65 years of age or…

Source: CMS Form 2567, inspection 2026-07-31, tag G0680 · view on CMS
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Serious Home Health Aide Services

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…

Source: CMS Form 2567, inspection 2026-07-31, tag G0750 · view on CMS
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Serious Organization And Administration Of Services

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…

Source: CMS Form 2567, inspection 2026-07-31, tag G0940 · view on CMS
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Moderate Ep Training Program

Therapeutic care to patients directly inside their own homes) failed to provide documented evidence all staff had participated the emergency preparedness drills (the steps taken to make sure patients and staff are safe before, during and after an emergency or natural disaster) annually.

Source: CMS Form 2567, inspection 2026-07-31, tag E0037 · view on CMS
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Moderate Performance Improvement Projects

The Home Health Agency (HHA) failed to ensure performance improvement projects (PIP) were conducted annually.

Source: CMS Form 2567, inspection 2026-07-31, tag G0658 · view on CMS
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Moderate Executive Responsibilities For Qapi

The HHA governing body failed to provide documented evidence the QAPI program was being implemented by the agency annually.

Source: CMS Form 2567, inspection 2026-07-31, tag G0660 · view on CMS
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Moderate Infection Control

The Home Health Agency (HHA) failed to maintain a written, coordinated, and active infection control program as required for every Medicare certified home health agency to tract, prevent, and control infections and communicable diseases.

Source: CMS Form 2567, inspection 2026-07-31, tag G0684 · view on CMS
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Moderate Competency Evaluation

The HHA failed to ensure two of two Certified Home Health Aides (CHHA 1, CHHA 2) completed their competency evaluation during the hiring process.

Source: CMS Form 2567, inspection 2026-07-31, tag G0768 · view on CMS
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Minor 5 Calendar Days After Start Of Care

The HHA failed to ensure the comprehensive assessment was completed no later than 5 days after the start of care for one of seven sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2026-07-31, tag G0520 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The HHA failed to ensure an accurate patient assessment was completed to reflect the current mobility status of one of seven sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2026-07-31, tag G0528 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency (HHA) failed to maintain an updated medication profile for one out of 7 sampled patients (Patient 3).

Source: CMS Form 2567, inspection 2026-07-31, tag G0536 · view on CMS
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Minor Documentation Of Inservice Training

The HHA failed to maintain documentation of the CHHA training and inservices for two of two CHHA (CHHA 1, CHHA 2).

Source: CMS Form 2567, inspection 2026-07-31, tag G0778 · view on CMS
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Minor Ensure That Hha Employs Qualified Personnel

Failed to ensure five of seven employees were qualified to provide home health services (RN1, LVN1, DOND, CHHA1 and CHHA2).

Source: CMS Form 2567, inspection 2026-07-31, tag G0952 · view on CMS
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