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Victory Home Health Agency

(951) 924-511424490 Sunnymead Boulevard, Suite 108, Moreno Valley, CA 92553
CMS Certification Number 058190 · Non-Profit · Medicare-certified since 08/20/2003
8deficiencies since 2018
0serious
3inspections
n/aCMS 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 2023-08-17

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency failed to follow infection control precautions for one of three patients (Patient 2) when the Registered Nurse did not place a clean barrier (a device used to limit potentially infectious contact between health care providers and patient's) before putting down her nursing bag on Patient…

Source: CMS Form 2567, inspection 2023-08-17, tag G0682 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The home health agency failed to ensure that the Home Health Aide (HHA) visit note followed the HHA Care Plan prepared by the Registered Nurse for two of three patients.

Source: CMS Form 2567, inspection 2023-08-17, tag G0798 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The agency failed to ensure the patient's initial Comprehensive Adult Nursing Assessment and Recertification Follow-Up Assessments were complete and accurate for five of seven patients reviewed (Patients 1, 2, 5, 6, and 7).

Source: CMS Form 2567, inspection 2023-08-17, tag G0528 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure that a medication listed in the patients Plan of Care (POC) and current medication profile were updated, accurate, and complete for one of three patients reviewed (Patient 2) when the medication Levothyroxine Sodium (used to treat hypothyroidism, a condition when your…

Source: CMS Form 2567, inspection 2023-08-17, tag G0536 · view on CMS
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Minor Influenza And Pneumococcal Vaccines

The agency failed to ensure the patient's vaccination screening for influenza (flu) and pneumonia (lung infection) was implemented by the Registered Nurse (RN) during the initial comprehensive assessment at the Start of Care (SOC) and during each recertification assessments for five of seven…

Source: CMS Form 2567, inspection 2023-08-17, tag G0582 · view on CMS
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Minor Verbal Orders

The agency failed to ensure physician's verbal orders were signed and dated timely, within 30 days of the order date, for four of seven patients reviewed (Patients 1, 2, 5, and 6).

Source: CMS Form 2567, inspection 2023-08-17, tag G0584 · view on CMS
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Inspection 2021-05-14

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

Inspection 2018-01-11

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Competency Evaluation & In-Service Trai

The agency failed to ensure for two of four Home Health Aides (HHA 1 and HHA 4) completed the 12 hours of inservice training during each 12 months period.

Source: CMS Form 2567, inspection 2018-01-11, tag G0215 · view on CMS
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Moderate Drug Regimen Review

The agency failed to ensure the medications listed in the patient's Plan Of Care (POC) and medication profile were updated accurately, with the right frequency and the medications at home were not expired, for three of 10 sampled patients (Patient 1, 2, and 3).

Source: CMS Form 2567, inspection 2018-01-11, tag G0337 · view on CMS
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