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Libertana Home Health of Sherman Oaks

(818) 902-50005805 Sepulveda Blvd Suite 605, Van Nuys, CA 91411
CMS Certification Number 057657 · Proprietary · Medicare-certified since 10/04/1984
10deficiencies since 2018
2serious
3inspections
n/aCMS 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 2025-02-14

· Complaint, Recertification · 7 deficiencies · CMS source report (PDF)
Serious Care Planning, Coordination, Quality Of Care

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid…

Source: CMS Form 2567, inspection 2025-02-14, tag G0570 · view on CMS
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Serious Clinical Records

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid…

Source: CMS Form 2567, inspection 2025-02-14, tag G1008 · view on CMS
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Moderate Plan Of Care

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to provide the care and services according to the patient’s written plan of care (POC, a document that maps out needs and services supplied for a homebound patient, as well as…

Source: CMS Form 2567, inspection 2025-02-14, tag G0572 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the responsible physician was notified regarding patient noncompliance with their plans of care for two of seven sampled patients (Patient 6 & 7) by failing to: 1)…

Source: CMS Form 2567, inspection 2025-02-14, tag G0590 · view on CMS
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Minor Revised Plan Of Care

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to revise the plan of care (a document detailing a patient’s health needs, created by a healthcare team based on a comprehensive assessment of the patient’s condition and…

Source: CMS Form 2567, inspection 2025-02-14, tag G0592 · view on CMS
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Minor Required Items In Clinical Record

The Home Health Agency (HHA) failed to ensure the patients' clinical records contained completed comprehensive assessment, plan of care, and clinical notes identifying documented evidence of blood sugar monitoring and wound care management for two of 7 sampled patients (Patients 3 and 6).

Source: CMS Form 2567, inspection 2025-02-14, tag G1012 · view on CMS
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Minor Interventions And Patient Response

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure that all interventions, including medication administration, treatments, services, and patient responses to those interventions were documented for two of seven…

Source: CMS Form 2567, inspection 2025-02-14, tag G1014 · view on CMS
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Inspection 2022-07-28

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Infection Control

The home health agency (HHA) failed to implement COVID-19 (an acute respiratory illness caused by virus infection) procedures and policy by failing to screen staff and visitors for signs and symptoms of COVID-19 including temperature check.

Source: CMS Form 2567, inspection 2022-07-28, tag G0684 · view on CMS
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Minor In Accordance With Current Clinical Practice

The home health agency (HHA) failed to ensure supplies stored in the agency were checked for expiration dates.

Source: CMS Form 2567, inspection 2022-07-28, tag G0984 · view on CMS
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Inspection 2018-12-17

· Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency staff failed to assess the patient's pain to ensure appropriateness of treatment for one of seven sample patients (Patient 5).

Source: CMS Form 2567, inspection 2018-12-17, tag G0572 · view on CMS
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