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Pacific Home Care LLC

(216) 458-57564713 West 130TH Street, Cleveland, OH 44135
CMS Certification Number 368469 · Proprietary · Medicare-certified since 12/01/2012
6deficiencies since 2018
1serious
2inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-20; CMS agency list file dated 2026-05-27. What the labels mean

Inspection 2023-04-19

· Recertification · 6 deficiencies · CMS source report (PDF)
Serious Infection Prevention And Control

Staff interview, and review of facility policy, the home health agency must maintain and document an infection control program which has as its goal the prevention and control of infections and communicable diseases (G687).

Source: CMS Form 2567, inspection 2023-04-19, tag G0680 · view on CMS
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Moderate Development Of Communication Plan

The agency failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws.

Source: CMS Form 2567, inspection 2023-04-19, tag E0029 · view on CMS
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Moderate Names And Contact Information

The agency failed to maintain an emergency contact list of patients and staff.

Source: CMS Form 2567, inspection 2023-04-19, tag E0030 · view on CMS
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Moderate Ep Training And Testing

The agency failed to ensure the Emergency Preparedness Plan training and testing program included all staff.

Source: CMS Form 2567, inspection 2023-04-19, tag E0036 · view on CMS
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Moderate Covid-19 Vaccination Of Home Health Agency Staff

The facility failed to ensure 100% of staff were vaccinated and the agency failed to develop a COVID-19 policy.

Source: CMS Form 2567, inspection 2023-04-19, tag G0687 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to review all medications the patient is currently using for two of three home visits conducted (Patient #1 and #3).

Source: CMS Form 2567, inspection 2023-04-19, tag G0536 · view on CMS
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Inspection 2018-10-11

· Recertification · no deficiencies cited · CMS source report (PDF)