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Kaiser Foundation Hospital Anaheim Home Health Agency

(714) 734-450017542 E 17TH Street, Tustin, CA 92780
CMS Certification Number 057799 · Non-Profit · Medicare-certified since 03/10/1985
11deficiencies since 2018
0serious
3inspections
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 2025-11-05

· Complaint · 4 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure the care and services were provided as per the POC for three of three sampled patients (Patients 1, 2, and 3).

Source: CMS Form 2567, inspection 2025-11-05, tag G0572 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure the review of the medications included the patient’s current medications to identify any potential adverse effects and drug reactions for one of three sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2025-11-05, tag G0536 · view on CMS
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Minor Last 5 Days Of Every 60 Days Unless:

The agency failed to ensure the comprehensive assessments were updated within the last five days of every 60 days for two of three sampled patients (Patients 2 and 3).

Source: CMS Form 2567, inspection 2025-11-05, tag G0546 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the POCs included the specific interventions and measurable outcomes related to the identified diagnoses and comorbidities for two of three sampled patients (Patients 1 and 3).

Source: CMS Form 2567, inspection 2025-11-05, tag G0574 · view on CMS
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Inspection 2025-07-09

· Complaint · 5 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure the care and services were provided as per the POC for three of three sampled patients (Patients 1, 2, and 3).

Source: CMS Form 2567, inspection 2025-07-09, tag G0572 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the POCs included the specific interventions, measurable outcomes, and goals related to the identified diagnoses and comorbidities for three of three sampled patients (Patients 1, 2, and 3).

Source: CMS Form 2567, inspection 2025-07-09, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure the wound treatments were provided only with the physician's order for two of the three sampled patients (Patients 1 and 2).

Source: CMS Form 2567, inspection 2025-07-09, tag G0580 · view on CMS
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Minor Integrate All Orders

The agency failed to ensure the designated staff integrated the physician's referral orders for OT and Social Worker services needed by the patient for one of three sampled patients (Patient 2).

Source: CMS Form 2567, inspection 2025-07-09, tag G0604 · view on CMS
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Minor Integrate All Services

The agency failed to manage the OT visits to be done timely as per the agency's P&P for one of three sampled patients (Patient 3).

Source: CMS Form 2567, inspection 2025-07-09, tag G0606 · view on CMS
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Inspection 2024-12-17

· Complaint · 2 deficiencies · CMS source report (PDF)
Minor Plan Of Care Must Include The Following

The agency failed to ensure the POCs included the specific interventions, measurable outcomes, and goals related to the identified diagnoses and comorbidities for three of three sampled patients (Patients 1, 2, and 3), creating the risk of not addressing the care needs for these patients.

Source: CMS Form 2567, inspection 2024-12-17, tag G0574 · view on CMS
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Minor Coordinate Care Delivery

The agency failed to ensure the necessary care and services for three of three sampled patients (Patients 1, 2 and 3) were coordinated, creating the risk for patients not to receive the necessary care and services.

Source: CMS Form 2567, inspection 2024-12-17, tag G0608 · view on CMS
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