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Priority One Home Health Services Inc

(909) 625-63774959 Palo Verde Street Suite 108C, Montclair, CA 91763
CMS Certification Number 058063 · Proprietary · Medicare-certified since 12/13/2000
7deficiencies since 2018
1serious
1inspections
4.5CMS 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 2018-05-21

· Recertification, Sample Validation · 7 deficiencies · CMS source report (PDF)
Serious Clinical Records

The agency failed to ensure that the Condition of Participation: CFR (s) 484.110 Clinical Record was in compliance as follows: 1. Based on interview and record review, the agency failed to ensure that the records were maintained with complete, accurate information, and were submitted on time as per…

Source: CMS Form 2567, inspection 2018-05-21, tag G1008 · view on CMS
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Moderate Infection Prevention

The agency failed to ensure that infection prevention was implemented on 1 of 3 patients visited (Patient 4) when the Registered Nurse (RN 1) failed to perform the following as per agency's policy and procedure.

Source: CMS Form 2567, inspection 2018-05-21, tag G0682 · view on CMS
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Moderate Authentication

The agency failed to ensure the Health Certification and Plan of Care (Form 485) for one (1) of eight (8) sampled patients (Patient 6) was signed by the physician.

Source: CMS Form 2567, inspection 2018-05-21, tag G1024 · view on CMS
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Moderate Protection Of Records

The agency failed to ensure the patient records and employee records were stored securely.

Source: CMS Form 2567, inspection 2018-05-21, tag G1028 · view on CMS
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Minor Only As Ordered By A Physician

The Home Health agency failed to ensure that there was a physician order for additional services for physical therapy for one (1) of eight (8) sampled patients (Patient 6).

Source: CMS Form 2567, inspection 2018-05-21, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to ensure staff providing services maintained effective communication to ensure all patients received care in accordance with their plan of care (POC) for 1 of 8 sampled patients (Patients 4).

Source: CMS Form 2567, inspection 2018-05-21, tag G0590 · view on CMS
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Minor Required Items In Clinical Record

The agency failed to ensure that the records were maintained with complete, accurate information, and were submitted on time as per agency's policy and procedure for four (4) of eight (8) sample patient (Patients 2, 3, 4, and 6), as evidenced by: 1. For Patient 2, missing nurses visit notes…

Source: CMS Form 2567, inspection 2018-05-21, tag G1012 · view on CMS
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