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Blue Sky Home Health Care, Inc

(818) 773-878716501 Sherman Way, Suite 210, Van Nuys, CA 91406
CMS Certification Number 059126 · Proprietary · Medicare-certified since 09/29/2009
10deficiencies since 2018
2serious
1inspections
2CMS 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 2026-05-18

· Complaint · 10 deficiencies · CMS source report (PDF)
Serious Comprehensive Assessment Of Patients

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure the Condition of Participation regarding Comprehensive assessment of patients was met as follows: 1. The HHA failed to ensure three of…

Source: CMS Form 2567, inspection 2026-05-18, tag G0510 · view on CMS
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Serious Clinical Records

This CONDITION is NOT MET as evidenced by: Based on interview, observation, and record review, the Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure the Condition of Participation regarding…

Source: CMS Form 2567, inspection 2026-05-18, tag G1008 · view on CMS
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Moderate Plan Of Care

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure the plan of care (POC) was followed for four of thirteen sample patients (Patient 3, Patient 4, Patient 8 and Patient 9).

Source: CMS Form 2567, inspection 2026-05-18, tag G0572 · view on CMS
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Moderate Written Instructions To Patient Include:

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to patients' personal residence) failed to ensure written information regarding the patient’s care was provided for two of thirteen sampled patients (Patient 3 and Patient 8).

Source: CMS Form 2567, inspection 2026-05-18, tag G0612 · view on CMS
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Moderate Authentication

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patients personal residence) failed to ensure patient care records were complete and authenticated for six of thirteen sampled patients (Patient 1, Patient 2, Patient 3, Patient 4…

Source: CMS Form 2567, inspection 2026-05-18, tag G1024 · view on CMS
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Minor Rn Performs Assessment

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to patients' personal residence) failed to ensure three of thirteen sampled patients (Patient 9, Patient 10 and Patient 11) initial assessments conducted by the registered nurses were…

Source: CMS Form 2567, inspection 2026-05-18, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patients personal residence) failed to review and document all the medications and treatments the patient was currently using for four of thirteen sampled patients (Patient 2, Patient 3…

Source: CMS Form 2567, inspection 2026-05-18, tag G0536 · view on CMS
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Minor Patient Medication Schedule/Instructions

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure written information regarding the patient’s medication regime was present for one of thirteen sampled patients (Patient 8).

Source: CMS Form 2567, inspection 2026-05-18, tag G0616 · view on CMS
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Minor Required Items In Clinical Record

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure nine of thirteen sampled patients (Patient 2, Patient 3, Patient 4, Patient 8, Patient 9, Patient 10, Patient 11, Patient 12, and Patient…

Source: CMS Form 2567, inspection 2026-05-18, tag G1012 · view on CMS
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Minor Discharge And Transfer Summaries

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patients personal residence) failed to send all necessary medical information to the primary care practitioner within 5 days of discharge for four of thirteen sampled patients (Patient 6…

Source: CMS Form 2567, inspection 2026-05-18, tag G1022 · view on CMS
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