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Healthy Living at Home- Modesto, LLC

(209) 300-78983600 Sisk Rd., Suite 1C, Modesto, CA 95356
CMS Certification Number 059686 · Proprietary · Medicare-certified since 10/24/2015
10deficiencies since 2018
1serious
1inspections
3CMS 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 2019-04-04

· Complaint, Sample Validation · 10 deficiencies · CMS source report (PDF)
Serious Patient Rights

Patient 4) and one of one random sampled patients (Patient 7) when the home health agency (HHA) failed to: 1a.

Source: CMS Form 2567, inspection 2019-04-04, tag G0406 · view on CMS
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Moderate Supervision Of Home Health Aides

The home health agency (HHA) failed to ensure Home Health aide (HHA) 2 had an annual onsite competency check when the administrator/director patient care services (Adm/DPCS) signed off HHA 2's annual competency check list without an actual on site visit.

Source: CMS Form 2567, inspection 2019-04-04, tag G0806 · view on CMS
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Minor Information To Patient

The agency failed to provide the federal and state admission packets to the patient and/or legal representative during the initial evaluation visit for two of six sampled patients (Patient 1 and Patient 2).

Source: CMS Form 2567, inspection 2019-04-04, tag G0410 · view on CMS
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Minor Written Notice Of Patient'S Rights

The agency failed to provide written notice of the home health agency's (HHA) transfer and discharge policies, for one of six sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2019-04-04, tag G0412 · view on CMS
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Minor Hha Administrator Contact Information

The agency failed to provide the agency administrator's name and contact information for one of six sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2019-04-04, tag G0414 · view on CMS
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Minor Oasis Privacy Notice

The agency failed to provide an OASIS (outcome and assessment information set) privacy notice for one of six sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2019-04-04, tag G0416 · view on CMS
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Minor Patient'S Or Legal Representative'S Signature

The agency failed to obtain the patient's legal representative's signature for one of six sampled patients (Patient 1) upon the start of care (SOC).

Source: CMS Form 2567, inspection 2019-04-04, tag G0418 · view on CMS
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Minor Participate In Care

The agency failed to ensure the patients' legal representatives participated in the plan of care (POC) for two of six sampled patients (Patient 1 and Patient 4).

Source: CMS Form 2567, inspection 2019-04-04, tag G0434 · view on CMS
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Minor Immediate Reporting Of Abuse By All Staff

The agency failed to ensure allegations of inappropriate verbal interaction by staff towards one random sampled patient (Patient 7) was reported to the California Department of Public Health (CDPH) - Licensing and Cerification as required by state law.

Source: CMS Form 2567, inspection 2019-04-04, tag G0488 · view on CMS
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Minor Ensure That Hha Employs Qualified Personnel

The home health agency (HHA) failed to ensure qualified personnel were employed when the Administrator/Director Patient Care Services (Adm/DPCS) hired Registered Nurse (RN) 1 with a conditional license from the Board of Registered Nursing (BRN).

Source: CMS Form 2567, inspection 2019-04-04, tag G0952 · view on CMS
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