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Presbyterian Intercommunity Hospital Home Health

(562) 902-776315050 Imperial Hwy, La Mirada, CA 90638
CMS Certification Number 057187 · Non-Profit · Medicare-certified since 09/01/1976
22deficiencies since 2018
3serious
6inspections
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 2026-08-05

· Complaint · 2 deficiencies · CMS source report (PDF)
Minor Promptly Alert Relevant Physician Of Changes

An organization that delivers skilled nursing and other therapeutic services to a patient’s residence) failed to promptly alert the physician to relevant changes in the patient’s wound condition for one of seventeen sampled patients (Patient 1).

Source: CMS Form 2567, inspection 2026-08-05, tag G0590 · view on CMS
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Minor Provide Services In The Plan Of Care

An organization that delivers skilled nursing and other therapeutic services to a patient’s residence) failed to promptly carry out a physician’s wound treatment order for one of seventeen sampled patients (Patient 1).

Source: CMS Form 2567, inspection 2026-08-05, tag G0710 · view on CMS
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Inspection 2025-07-10

· Complaint · 1 deficiencies · CMS source report (PDF)
Minor text mentions immediate jeopardy Only As Ordered By A Physician

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure one of 10 sampled patients (Patient 23), who had a diagnosis of diabetes (DM-a disorder characterized by difficulty in blood sugar control and poor wound healing)…

Source: CMS Form 2567, inspection 2025-07-10, tag G0580 · view on CMS
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Inspection 2025-05-23

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

Rather than in a more traditional healthcare facility setting) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to review all the medications and update the medication profile with the currently used medications for three of…

Source: CMS Form 2567, inspection 2025-05-23, tag G0510 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…

Source: CMS Form 2567, inspection 2025-05-23, tag G0570 · view on CMS
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Serious Skilled Professional Services

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid…

Source: CMS Form 2567, inspection 2025-05-23, tag G0700 · view on CMS
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Moderate Update Of The Comprehensive Assessment

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to conduct a reassessment per patient’s plan of care (POC, a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of…

Source: CMS Form 2567, inspection 2025-05-23, tag G0544 · view on CMS
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Moderate Plan Of Care

The Home Health Agency (HHA) failed to follow the plan of care for three of six patients (Patients 1, Patient 11, Patient 16 and Patient 17).

Source: CMS Form 2567, inspection 2025-05-23, tag G0572 · view on CMS
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Moderate Written Instructions To Patient Include:

Rather than in a more traditional healthcare facility setting) failed to provide a copy of a recent, updated Plan of Care (POC- a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of the patient’s condition and goals, outlining…

Source: CMS Form 2567, inspection 2025-05-23, tag G0612 · view on CMS
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Moderate Responsibilities Of Skilled Professionals

The Home Health Agency (HHA) nursing staff failed to ensure that physician was promptly alerted to relevant changes in the patient's condition for one of seventeen sampled patients (Patient 1).

Source: CMS Form 2567, inspection 2025-05-23, tag G0704 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency (HHA) failed to review and document all medication changes and update the medication profile with currently used medications for three of 17 sampled patients (Patient 2, Patient 6, and Patient 16).

Source: CMS Form 2567, inspection 2025-05-23, tag G0536 · view on CMS
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Minor At Discharge

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure a discharge assessment summary was completed and provided a copy of discharge notification and instructions to two of seventeen sampled patients (Patient 10 and…

Source: CMS Form 2567, inspection 2025-05-23, tag G0550 · view on CMS
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Minor Plan Of Care Must Include The Following

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to develop an individualized plan of care (POC, a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of the patient’s…

Source: CMS Form 2567, inspection 2025-05-23, tag G0574 · view on CMS
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Minor text mentions immediate jeopardy Promptly Alert Relevant Physician Of Changes

The Home Health Agency (HHA- an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that the physician was promptly alerted to relevant changes in the patient's condition for one of seventeen sampled patients (Patient 1), when: Patient 1…

Source: CMS Form 2567, inspection 2025-05-23, tag G0590 · view on CMS
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Minor Revised Plan Of Care

The HHA failed to revise Plan of Care (POC- a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of the patient’s condition and goals, outlining interventions and expected outcomes to be achieved) for one of seventeen sampled patients…

Source: CMS Form 2567, inspection 2025-05-23, tag G0592 · view on CMS
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Minor Patients Receive Education And Training

Rather than in a more traditional healthcare facility setting) failed to ensure that education and training were provided to the patient/patient’s caregiver related to bleeding precautions while on anti-coagulant medication (medication that is used to prevent and treat blood clots in blood vessels…

Source: CMS Form 2567, inspection 2025-05-23, tag G0610 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to conduct a reassessment per patient’s plan of care (POC, a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of…

Source: CMS Form 2567, inspection 2025-05-23, tag G0706 · view on CMS
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Minor Patient And Caregiver Education

Rather than in a more traditional healthcare facility setting) nursing staff failed to ensure that education and training were provided to the patient/patient’s caregiver related to bleeding precautions while on anti-coagulant medication (medication that is used to prevent and treat blood clots in…

Source: CMS Form 2567, inspection 2025-05-23, tag G0714 · view on CMS
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Inspection 2022-03-15

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

Inspection 2020-04-07

· Focused Infection Control, Other-Fed · no deficiencies cited · CMS source report (PDF)

Inspection 2019-01-11

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

The agency staff failed to ensure care was provided for two of 17 sampled patients (Patients 2 and 7).

Source: CMS Form 2567, inspection 2019-01-11, tag G0572 · view on CMS
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Minor A Review Of All Current Medications

The home health agency (HHA) staff failed to review all the medications and update the medication profile with currently used medications for three of 17 sampled patients (Patients 1, 7, 8 and 17).

Source: CMS Form 2567, inspection 2019-01-11, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency staff failed to ensure the plan of care (POC) developed for one of 17 sampled patients (Patients 2) included patient-specific interventions for diabetes mellitus (too much sugar in the blood) management.

Source: CMS Form 2567, inspection 2019-01-11, tag G0574 · view on CMS
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Minor Patients Receive Education And Training

The HHA skilled nurse (SN) failed to provide instruction regarding diabetic management for two of 17 sample patients.

Source: CMS Form 2567, inspection 2019-01-11, tag G0610 · view on CMS
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