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Our Lady of Refuge Home Care, Inc

(818) 558-74004000 W Magnolia Blvd, Suite K, Burbank, CA 91505
CMS Certification Number 058353 · Proprietary · Medicare-certified since 09/09/2006
8deficiencies since 2018
0serious
2inspections
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 2023-03-24

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Infection Control

The home health agency failed to maintain a comprehensive COVID -19 (a potentially severe respiratory illness caused by a coronavirus and characterized by fever, coughing, and shortness of breath) policy and procedure, specifically regarding protocols for infected office/clinical staff.

Source: CMS Form 2567, inspection 2023-03-24, tag G0684 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency (HHA) failed to review and document medication changes for one of seven sampled patients (Patients 4).

Source: CMS Form 2567, inspection 2023-03-24, tag G0536 · view on CMS
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Inspection 2020-03-05

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Develop Ep Plan, Review And Update Annually

The Home Health Agency (HHA) failed to review and revise the emergency preparedness plan annually and provide updated in-services to the staff.

Source: CMS Form 2567, inspection 2020-03-05, tag E0004 · view on CMS
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Moderate Plan Of Care

The Home Health Agency failed to follow the Plan of Care (POC) and assess a surgical wound for one of 7 sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2020-03-05, tag G0572 · view on CMS
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Moderate Protection Of Records

The home health agency failed to ensure the patient's clinical records were locked in a secure place.

Source: CMS Form 2567, inspection 2020-03-05, tag G1028 · view on CMS
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Minor A Review Of All Current Medications

The home health agency (HHA) failed to review all the medications for one of 7 sample patients (Patient 5).

Source: CMS Form 2567, inspection 2020-03-05, tag G0536 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency failed to ensure two of 7 sample patients (Patient 2 and 3) had physician orders for treatment and care for the patients.

Source: CMS Form 2567, inspection 2020-03-05, tag G0580 · view on CMS
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Minor Provide Services In The Plan Of Care

The home health agency (HHA) failed to document oxygen saturation for one of 7 patients (Patient 5) as indicated in the plan of care.

Source: CMS Form 2567, inspection 2020-03-05, tag G0710 · view on CMS
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