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Angel Home Health Services, Inc.

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
12444 Victory Blvd Suite 501B, North Hollywood, CA 91606
CMS Certification Number 753146
19deficiencies since 2018
4serious
1inspections
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 2023-12-10

· Complaint · 19 deficiencies · CMS source report (PDF)
Serious Comprehensive Assessment Of Patients

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to ensure a Registered Nurse conducted initial comprehensive assessments (the required in-person clinical assessment of the patient's physical…

Source: CMS Form 2567, inspection 2023-12-10, tag G0510 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

This CONDITION is NOT MET as evidenced by: Based on observation, interview and record review, the Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Care Planning, Coordination, Quality of Care was met as follows: 1.The HHA failed to ensure the plan of care (POC, an…

Source: CMS Form 2567, inspection 2023-12-10, tag G0570 · view on CMS
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Serious Organization And Administration Of Services

Failed to ensure Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare [a federal system of health insurance for people over 65 years of age and for certain younger people with disabilities]) for Organization and…

Source: CMS Form 2567, inspection 2023-12-10, tag G0940 · view on CMS
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Serious Clinical Records

This CONDITION is NOT MET as evidenced by: Based on interview and record review, the Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Clinical Records was met as follows: 1.The Home Health Agency (HHA) failed to ensure clinical records reflected the care for six of…

Source: CMS Form 2567, inspection 2023-12-10, tag G1008 · view on CMS
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Moderate Encoding And Transmitting Oasis

The Home Health Agency (HHA) failed to ensure the OASIS (Outcome and Assessment Information Set - patient specific standardized data set that measures quality and outcomes) were transmitted within 30 days of completing the assessment for seven of seven sampled patients (Patient 1, Patient 2…

Source: CMS Form 2567, inspection 2023-12-10, tag G0372 · view on CMS
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Moderate Update Of The Comprehensive Assessment

The Home Health Agency failed to ensure one of seven sampled patients (Patient 3), had an updated comprehensive assessment (the required in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and caregiver…

Source: CMS Form 2567, inspection 2023-12-10, tag G0544 · view on CMS
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Moderate Plan Of Care

The Home Health Agency (HHA) failed to ensure the plan of care (POC, an individualized plan of care that summarizes the patients’ health condition, specific care needs, current treatments, and the disciplines providing the services) was followed for three of seven sampled patients (Patient 1…

Source: CMS Form 2567, inspection 2023-12-10, tag G0572 · view on CMS
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Moderate Written Instructions To Patient Include:

The Home Health Agency (HHA) failed to provide written information regarding the plan of care for three of seven sampled patients (Patient 1, Patient 5, and Patient 6).

Source: CMS Form 2567, inspection 2023-12-10, tag G0612 · view on CMS
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Moderate text mentions immediate jeopardy Clinical Manager

The Home Health Agency (HHA an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the agency’s Administrator/Director of Patient Care Services (ADM/DPCS) and or a qualified designee provided the day-to-day operations of the agency and…

Source: CMS Form 2567, inspection 2023-12-10, tag G0958 · view on CMS
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Moderate Authentication

The Home Health Agency (HHA) failed to ensure two of seven sampled patients (Patient 3 and Patient 7) clinical records indicated the author of the note.

Source: CMS Form 2567, inspection 2023-12-10, tag G1024 · view on CMS
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Minor State Toll Free Hh Telephone Hotline

The Home Health Agency (HHA) failed to ensure seven of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7) received information regarding the State toll free home health complaint telephone hotline, its contact information, its hours of…

Source: CMS Form 2567, inspection 2023-12-10, tag G0444 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The Home Health Agency (HHA) failed to ensure seven of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7) received information regarding a listing of State and Federally funded programs.

Source: CMS Form 2567, inspection 2023-12-10, tag G0446 · view on CMS
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Minor Rn Performs Assessment

The Home Health Agency failed to ensure a Registered Nurse conducted initial comprehensive assessments (the required in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and caregiver that will be…

Source: CMS Form 2567, inspection 2023-12-10, tag G0514 · view on CMS
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Minor 5 Calendar Days After Start Of Care

The Home Health Agency failed to ensure a comprehensive assessment (the required in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and caregiver that will be addressed by the home health agency's…

Source: CMS Form 2567, inspection 2023-12-10, tag G0520 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency failed to review and document all the medications and treatments the patient was receiving for one of seven sampled patients, (Patient 6).

Source: CMS Form 2567, inspection 2023-12-10, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The Home Health Agency (HHA) failed to develop a plan of care for three of seven sampled patients (Patient 1, Patient 5, and Patient 6).

Source: CMS Form 2567, inspection 2023-12-10, tag G0574 · view on CMS
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Minor Reviewed, Revised By Physician Every 60 Days

The Home Health Agency (HHA) failed to ensure the Plan of Care (POC – individualized patients planned care) was reviewed and signed by a physician for three of seven sampled patients (Patient 3, Patient 4, and Patient 7).

Source: CMS Form 2567, inspection 2023-12-10, tag G0588 · view on CMS
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Minor Revised Plan Of Care

The Home Health Agency (HHA ) failed to ensure the plan of care reflected current information from the updated comprehensive assessment for one of seven sampled patients (Patient 3).

Source: CMS Form 2567, inspection 2023-12-10, tag G0592 · view on CMS
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Minor Required Items In Clinical Record

Based interview and record review the Home Health Agency (HHA) failed to ensure clinical records reflected the care for six of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, and Patient 6).

Source: CMS Form 2567, inspection 2023-12-10, tag G1012 · view on CMS
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