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Dina Sova Home Health Care, Inc.

(747) 247-07013100 W Burbank Blvd Suite 106, Burbank, CA 91505
CMS Certification Number 559754 · - · Medicare-certified since 11/04/2021
22deficiencies since 2018
6serious
1inspections
3.5CMS 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 2026-05-29

· Complaint · 22 deficiencies · CMS source report (PDF)
Serious Comprehensive Assessment Of Patients

An organization that delivers skilled nursing and other therapeutics service to a patient’s personal residence) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance…

Source: CMS Form 2567, inspection 2026-05-29, tag G0510 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

An organization that delivers skilled nursing and other therapeutic services to a patient) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid Programs) regarding Care planning…

Source: CMS Form 2567, inspection 2026-05-29, tag G0570 · view on CMS
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Serious Skilled Professional Services

An organization that delivers skilled nursing and other therapeutic services to a patient) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid Programs) regarding Skilled…

Source: CMS Form 2567, inspection 2026-05-29, tag G0700 · view on CMS
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Serious Home Health Aide Services

An organization that delivers skilled nursing and other therapeutic services to a patient) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid Programs) regarding Home Health…

Source: CMS Form 2567, inspection 2026-05-29, tag G0750 · view on CMS
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Serious Organization And Administration Of Services

An organization that delivers skilled nursing and other therapeutic services to a patient) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid Programs) regarding Organization…

Source: CMS Form 2567, inspection 2026-05-29, tag G0940 · view on CMS
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Serious Clinical Records

An organization that delivers skilled nursing and other therapeutic services to a patient) failed to ensure the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid Programs) regarding Clinical…

Source: CMS Form 2567, inspection 2026-05-29, tag G1008 · view on CMS
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Moderate Services By Skilled Professionals

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to conduct performance evaluation for one of two licensed vocational nurse 3 (LVN 3) and to provide training/orientation, conduct background check for one of two registered nurse 2 (RN 2).

Source: CMS Form 2567, inspection 2026-05-29, tag G0702 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure two of seven sample patients (Patient 4 and Patient 7) had written patient care instructions for the Certified Home Health Aide (CHHA) to…

Source: CMS Form 2567, inspection 2026-05-29, tag G0798 · view on CMS
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Moderate 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 a Clinical Manager oversaw the nursing care provided to three of seven sampled patients (Patient 1, Patient 6, and Patient 7).

Source: CMS Form 2567, inspection 2026-05-29, tag G0958 · view on CMS
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Moderate Authentication

The Home Health Agency (HHA - an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure patient care records were appropriately authenticated for two of seven sample patients (Patient 6 and Patient 7).

Source: CMS Form 2567, inspection 2026-05-29, tag G1024 · view on CMS
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Moderate Protection Of Records

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure that two of seven sample patients (Patient 6 and Patient 7) clinical records were secured and confidential information are protected.

Source: CMS Form 2567, inspection 2026-05-29, tag G1028 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to assess the patient’s pressure injuries (localized damage to the skin and underlying tissue, typically over a bony prominence) and failed to document the primary and secondary diagnosis for…

Source: CMS Form 2567, inspection 2026-05-29, tag G0528 · view on CMS
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Minor Primary Caregiver(S), If Any

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) nursing staff failed to assess the patient’s caregiver’s willingness and ability to provide wound care for one of seven sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2026-05-29, tag G0538 · view on CMS
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Minor Plan Of Care Must Include The Following

The Home Health Agency (HHA - an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure all ordered disciplines' visit frequencies were written in the plan of care (POC) for one of seven sampled patients (Patients 6).

Source: CMS Form 2567, inspection 2026-05-29, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to obtain a physician's order for the administration of normal saline (a sterile mixture of salt and water that matches the body’s natural fluid balance; its primary purpose is to replenish…

Source: CMS Form 2567, inspection 2026-05-29, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) nursing staff failed to notify the physician regarding the patient's change of condition for one of seven sampled patients (Patient 4).

Source: CMS Form 2567, inspection 2026-05-29, tag G0590 · view on CMS
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Minor Revised Plan Of Care

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to update the Plan of Care (POC, a detailed, written document outlining the services and support that an individual needs to meet their healthcare goals) failed to ensure the POC contained an…

Source: CMS Form 2567, inspection 2026-05-29, tag G0592 · view on CMS
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Minor Integrate All Orders

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to integrate orders from all physicians involved into the plan of care (POC, a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of…

Source: CMS Form 2567, inspection 2026-05-29, tag G0604 · view on CMS
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Minor Nursing Services Supervised By Rn

The form did not contain the name of the License Vocational Nurse (LVN) being supervised and did not indicate if the LVN met or did not meet the requirements to safely provide services.

Source: CMS Form 2567, inspection 2026-05-29, tag G0726 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure two of seven sample patients (Patient 4 and Patient 7) provided Certified Home Health Aide (CHHA) services conducted supervisory…

Source: CMS Form 2567, inspection 2026-05-29, tag G0808 · 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 seven of seven sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 5, Patient 6, and Patient 7) clinical records contained…

Source: CMS Form 2567, inspection 2026-05-29, tag G1012 · view on CMS
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Minor Discharge And Transfer Summaries

The facility failed to ensure a discharge summary was sent to the physician for two of seven sampled patients (Patient 2 and Patient 5).

Source: CMS Form 2567, inspection 2026-05-29, tag G1022 · view on CMS
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