Compassionate Care Home Health Agency, LLC

The Home Health Agency (HHA) failed to conduct a comprehensive assessment within five days of the start of care for one of five sampled patients (Patient (Pt)) 1, when there was a physical therapy (PT) evaluation appointment made on 8/5/26, which was 12 days after the start of care date on 7/24/26.…

The Home Health Agency (HHA) failed to coordinate care delivery for one of five sampled patients (Pt 2), when Pt 2's start of care (SOC) appointment was scheduled five days after the referral date and was not completed within the required 48 hours after referral, and staff did not document…

Quality of care was not followed when: 1. Home health agency failed to follow their policy and procedure titled, “Plan of Care” for one of four sampled patients (Patient (Pt)) 3, when drainage dressing changes were completed without a physician order for treatment of Pt 3’s diverticulitis…

The home health agency (HHA) failed to provide a copy of the CMS 485 (standardized document used by the Centers for Medicare & Medicaid Services (CMS) for the Home Health Certification and Plan of Care containing written instructions for visit schedules, medications, treatments to be administered…

The home health agency failed to use standard precautions to prevent transmission of infections for two of three sampled home visit patients (Patient [Pt]1 and Pt 2) when Registered Nurse Supervisor (RNS) and Registered Nurse (RN) 3 did not follow standards of practice for Pt 1 and Pt 2’s…

The home health agency failed to ensure one of four sampled patients (Patient (Pt)) 1, was provided with a timely response for a complaint investigation when Family Member (FM) 1 complained on 4/28/26 and no follow up investigation was provided.

The home health agency failed to follow their policy and procedure (P&P) titled, “Plan of Care,” for one of four sampled patients (Patient (Pt)) 3 when the drainage dressing changes were completed without a physician order for treatment of Pt 3’s diverticulitis (inflammation or infection of the…

The home health agency (HHA) failed to notify the physician promptly when Occupational Therapy (OT) services were discontinued for one of four sampled patients (Patient [Pt] 4).

The home health agency (HHA) failed to coordinate home visits for one of three sampled patients (Patient [Pt] 3), when Physical Therapist (PT) 1 did not call Pt 3 and Family Member (FM) 2 to arrange a time for the home visit on 6/16/26. This failure resulted in FM 2 feeling annoyed and had the…

The home health agency failed to provide the name of the clinical manager for three of three sampled home visit patients (Patient [Pt] 1, 2, and 3), when the admission booklet did not contain the required information.

The agency failed to ensure communication between disciplines was done for one of four sampled patients (Patient 1) when Physical Therapy (PT) 1 did not call Patient 1’s Registered Nurse (RN) 1 to inform RN 1 of Patient 1’s low blood pressure and fatigue during her home visit.

The agency ‘s Registered Nurse (RN) 1 failed to provide patient care giver education regarding wound care to the common bile (a liquid made by the liver, helps digest fats) duct drain (allows bile to flow out from a blocked bile duct into a collection bag outside the body) and disease process for…

The agency‘s Registered Nurse (RN) 1 failed to prepare the clinical record accurately to reflect the actual services provided for one of four sampled patients (Patient 1) when RN 1 did minimal and generic documentation about wound care and caregiver education in her visit notes.

Quality of care when: 1. The agency failed to follow physician orders to obtain a urine specimen for urinalysis (UA-test for urine to detect and manage a urinary tract infections [UTI]), for one of six sampled patients (Patient 1).

The agency advertised the Modesto and Bakersfield locations as branch locations (a location or site from which an HHA provides services).

The agency failed to implement an infection prevention and control program when: 1. Licensed Vocational Nurse (LVN) 3 did not perform hand hygiene during a home visit for patient (Pt) 4.

The agency failed to implement an infection prevention, and control program when: 1. The agency did not implement a surveillance program of Coronavirus (COVID-19-a serious respiratory illness caused by a virus which is the cause of a current worldwide pandemic [prevalent over a whole country or the…

The agency failed to follow federal, state, and local laws when the agency did not follow federal regulations for home health agency (HHA) drop sites (location for field staff to pick up supplies, drop off paperwork, use office equipment) when the HHA advertised the Bakersfield and Modesto sites as…

The agency failed to assess patient nursing needs for one of six patients, patient (Pt) 1, when the agency did not implement care interventions to address recurrent UTIs (infection in any part of the urinary system that could lead to infection in the blood causing a life threatening event).

The agency failed to review all the medications and update the medication profile with the current medications for four of four sampled patients (Pt) with home visits (Patient 2, 3, 4 and 5).

The agency failed to follow physician orders to obtain a urine specimen for urinalysis (UA-test for urine to detect and manage a urinary tract infections [UTI]), for one of six sampled patients (Patient 1).

The agency failed to promptly notify the Primary Care Provider (PCP) for one of six patients, patient (Pt) 1, when the agency did not notify the PCP that LVN 1 and LVN 2 did not collect a urine specimen needed for urinalysis (UA-test for urine to detect and manage a urinary tract infections [UTI]).