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Angels on Earth Home Health Inc

(909) 447-46154959 Palo Verde ST#201A, Montclair, CA 91763
CMS Certification Number 059032 · Proprietary · Medicare-certified since 03/05/2009
8deficiencies since 2018
1serious
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 2024-11-22

· Recertification · 8 deficiencies · CMS source report (PDF)
Serious Infection Prevention And Control

The agency failed to ensure that the Condition of Participation: G680 484.70: Infection prevention and control was in compliance when: a Registered Nurse (Registered Nurse 1 – RN 1) used a glucometer (a device used to test blood sugar levels) on Patient 3 but the glucometer belonged to another…

Source: CMS Form 2567, inspection 2024-11-22, tag G0680 · view on CMS
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Moderate Plan Of Care

The facility failed to notify the physician, as indicated in the facility’s policy and procedure (P&P), regarding Patient 1’s missed skilled nursing visits on October 15, 2024, October 18, 2024, and October 22, 2024. This failure resulted in the physician to be unaware of the missed visits and for…

Source: CMS Form 2567, inspection 2024-11-22, tag G0572 · view on CMS
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Moderate Infection Prevention

The facility failed to ensure it implemented its infection control program when: 1) A Registered Nurse (Registered Nurse 1 – RN 1) used a glucometer (a device used to test blood sugar levels) on Patient 3 but the glucometer belonged to another patient and was not to be used on multiple patients per…

Source: CMS Form 2567, inspection 2024-11-22, tag G0682 · view on CMS
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Moderate Laboratory Services/Clia Waivers

The facility failed to ensure the Clinical Laboratory Improvement Amendments waiver (CLIA waiver - allows a facility to legally perform waived tests to diagnose, treat, and assess a patient's health, and to perform testing of blood sugar levels) was not expired.

Source: CMS Form 2567, inspection 2024-11-22, tag G0862 · view on CMS
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Minor Rn Performs Assessment

The facility failed to ensure one of three sampled patients (Patient 3) had an initial assessment (an assessment done to determine the immediate needs of a new home health patient) done within 48 hours of physician referral for home health services which occurred on September 4, 2024. This failure…

Source: CMS Form 2567, inspection 2024-11-22, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

The facility failed to ensure a review of all medications (medication reconciliation) the patients were taking was conducted for three of three sampled patients (Patients 1, 2, and 3) when all 3 patients had discrepancies in the medications taken at home when compared to their plans of care (a…

Source: CMS Form 2567, inspection 2024-11-22, tag G0536 · view on CMS
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Minor Only As Ordered By A Physician

The facility failed to ensure a Registered Nurse 1 (RN 1) administered treatments and services only as prescribed by a physician when RN 1 tested the blood glucose (level of sugar in the blood) for one of three sampled patients (Patient 3) without a physician’s order.

Source: CMS Form 2567, inspection 2024-11-22, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The facility failed to ensure a Registered Nurse 1 (RN 1) followed up with a physician regarding Patient 3’s elevated blood sugar level which RN 1 stated was “dangerously high”.

Source: CMS Form 2567, inspection 2024-11-22, tag G0590 · view on CMS
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