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St Martin Home Healthcare

(909) 627-040813771 Roswell Avenue, Suite H, Chino, CA 91710
CMS Certification Number 058288 · Proprietary · Medicare-certified since 11/24/2004
4deficiencies since 2018
0serious
1inspections
2.5CMS 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 2023-06-23

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency failed to ensure standards of practice to prevent the transmission of infections (a condition in which bacteria or viruses that causes disease have entered the body) were followed for one of three sampled patients (Patient 3) when LVN 2 placed his nursing bag (bag that is brought from…

Source: CMS Form 2567, inspection 2023-06-23, tag G0682 · view on CMS
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Moderate Infection Control

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases when: 1. Three 20 French (Fr – size of catheter) expired foley catheters (a flexible tube that passes through the…

Source: CMS Form 2567, inspection 2023-06-23, tag G0684 · view on CMS
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Minor A Review Of All Current Medications

The DPCS and AD acknowledged Patient 1’s current MP did not include the change of Levothyroxine from 150 mcg to 125 mcg.

Source: CMS Form 2567, inspection 2023-06-23, tag G0536 · view on CMS
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Minor Nursing Services Supervised By Rn

The agency failed to ensure nursing services were provided under the supervision of a Registered Nurse (RN) in accordance with the agency’s policy and procedure (P&P) for one of seven sample patients (Patient 3) when Licensed Vocational Nurse 2 (LVN 2’s) “STAFF SUPERVISORY VISIT” (where a RN checks…

Source: CMS Form 2567, inspection 2023-06-23, tag G0726 · view on CMS
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