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Virginia Home Care Agency

(626) 796-52961 West California Blvd, Ste 226, Pasadena, CA 91105
CMS Certification Number 058152 · Proprietary · Medicare-certified since 12/31/2002
8deficiencies since 2018
0serious
2inspections
1.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-20; CMS agency list file dated 2026-05-27. What the labels mean

Inspection 2022-12-16

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The home health agency (HHA) failed to provide care as ordered in the Plan of Care (POC) for four of seven sampled patients (Patient 1, 2, 3, and 5). a.

Source: CMS Form 2567, inspection 2022-12-16, tag G0572 · view on CMS
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Minor Written Notice Within 4 Business Days

The home health agency (HHA) failed to provide written notice of the patient’s rights within four days after the patient moved from one location to another for one of seven (Patient 1) sampled patients.

Source: CMS Form 2567, inspection 2022-12-16, tag G0422 · view on CMS
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Minor A Review Of All Current Medications

The home health agency (HHA) failed to maintain an updated medication profile for three of seven sampled patients (Patient 1, 4, and 5). a.

Source: CMS Form 2567, inspection 2022-12-16, tag G0536 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency (HHA) failed to follow the doctor’s order for levothyroxine (a medication used to treat an underactive thyroid gland which helps to control energy levels and growth) and identify other medications as ordered by the doctor for one of seven (Patient 1) sampled patients.

Source: CMS Form 2567, inspection 2022-12-16, tag G0580 · view on CMS
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Minor Communication With Physicians

The home health agency (HHA) failed to communicate the inaccuracies of the medications for one of seven (Patient 1) sampled patients.

Source: CMS Form 2567, inspection 2022-12-16, tag G0718 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The home health agency (HHA) failed to conduct and document supervisory visits for the certified home health aide (CHHA) no less frequently than every 14 days for one of seven (Patient 1) sampled patients.

Source: CMS Form 2567, inspection 2022-12-16, tag G0808 · view on CMS
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Minor Discharge And Transfer Summaries

The home health agency (HHA) failed to send the discharge summary to the primary doctor within five days of discharge for one of seven (Patient 3) sampled patients.

Source: CMS Form 2567, inspection 2022-12-16, tag G1022 · view on CMS
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Inspection 2019-07-01

· Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The home health agency's Physical Therapist failed to assess the patient's pain as indicated in the plan of care for two of ten patients (Patient 6 and 7 ).

Source: CMS Form 2567, inspection 2019-07-01, tag G0572 · view on CMS
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