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Pure Heart Home Health Services, Inc.

-4119 W Burbank Blvd, Burbank, CA 91505
CMS Certification Number 757111 · Proprietary · Medicare-certified since 09/14/2022
13deficiencies since 2018
3serious
1inspections
2CMS 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 2025-06-18

· Complaint · 13 deficiencies · CMS source report (PDF)
Serious Condition Of Participation: Patient Rights.

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure the Condition of Participation regarding Patient’s Rights was met when: Based on observation, interview, and record review, the Home Health Agency (HHA, agency providing skilled…

Source: CMS Form 2567, inspection 2025-06-18, tag G0406 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure the Condition of Participation regarding Care planning, coordination and quality of care was met when: 1. The Home Health Agency failed to develop an individualized plan of care (POC…

Source: CMS Form 2567, inspection 2025-06-18, tag G0570 · view on CMS
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Serious Clinical Records

Agency providing care to a patient in the comfort of their home) failed to ensure the Condition of Participation for Clinical Records was met as follows: The Home Health Agency (HHA, a public or private organization that delivers skilled nursing and other therapeutic services to a patient at home)…

Source: CMS Form 2567, inspection 2025-06-18, tag G1008 · view on CMS
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Moderate Written Instructions To Patient Include:

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to provide a copy of a recent, updated plan of care for three of seven sampled patients (Patient 1, Patient 2 and Patient 5).

Source: CMS Form 2567, inspection 2025-06-18, tag G0612 · view on CMS
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Minor State Toll Free Hh Telephone Hotline

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure three of seven sampled patients (Patient 1, Patient 2, and Patient 5) received information regarding the State toll free home health complaint telephone hotline, its contact…

Source: CMS Form 2567, inspection 2025-06-18, tag G0444 · view on CMS
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Minor A Review Of All Current Medications

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to review all the medications and updated the medication profile with the currently used medications for one of seven sampled patient (Patient 2).

Source: CMS Form 2567, inspection 2025-06-18, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) 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 condition and…

Source: CMS Form 2567, inspection 2025-06-18, tag G0574 · view on CMS
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Minor All Orders Recorded In Plan Of Care

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to record the physician order for skilled nursing frequency visits in the Plan of Care (POC, a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive…

Source: CMS Form 2567, inspection 2025-06-18, tag G0576 · view on CMS
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Minor Only As Ordered By A Physician

The HHA failed to follow physician orders for the frequency of skilled nursing visits for one of seven sampled patients (Patient 5).

Source: CMS Form 2567, inspection 2025-06-18, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure the physician was notified of the care and services that were not rendered for one of seven sample patients (Patient 5).

Source: CMS Form 2567, inspection 2025-06-18, tag G0590 · view on CMS
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Minor Required Items In Clinical Record

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the clinical records for Plan of Care were completed for three of seven sampled patients (Patient 4, Patient 5, and Patient 6).

Source: CMS Form 2567, inspection 2025-06-18, tag G1012 · view on CMS
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Minor Interventions And Patient Response

The HHA failed to ensure the skilled nurses submit nursing visit notes and pertinent clinical records in a timely manner, to reflect the care and assessment provided to the patients for one of seven sampled patients (Patient 5) This failure resulted in Patient 5's incomplete medical record that…

Source: CMS Form 2567, inspection 2025-06-18, tag G1014 · view on CMS
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Minor Contact Information For The Patient

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure the clinical records included emergency contact information for six of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, and Patient 6).

Source: CMS Form 2567, inspection 2025-06-18, tag G1018 · view on CMS
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