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River Valley Home Health

(760) 665-5255149350 Ukiah Trail, Suite 102, Big River, CA 92242
CMS Certification Number 059373 · Proprietary · Medicare-certified since 03/28/2012
9deficiencies since 2018
0serious
3inspections
4.5CMS 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 2026-05-21

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

The facility failed to ensure a patient received the home health service as written in a plan of care (an individual plan that identifies patient’s specific goals) and the responsible physician was notified of a missed visit from a Medical Social Worker (MSW) on May 8, 2026, for one of seven…

Source: CMS Form 2567, inspection 2026-05-21, tag G0572 · view on CMS
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Moderate Written Instructions To Patient Include:

The agency failed to ensure written information related to the patient’s Plan of Care (POC- an individual plan that identifies patient’s specific goals and signed by a doctor) was provided and available in the home for two of three sampled patients reviewed for written patient care instructions…

Source: CMS Form 2567, inspection 2026-05-21, tag G0612 · view on CMS
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Moderate Infection Prevention

The facility failed to follow infection control guidelines when one box of (60 wipes) Alcohol Prep pad with an expiration date of January 30, 2025, was found in the medical supply room and were available for use.

Source: CMS Form 2567, inspection 2026-05-21, tag G0682 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure medication reconciliation (process to compare current medication order with what home medications patients are actually taking) was conducted for two of three sampled patients (Patients 2 and 3) when Patients 2 and 3’s Medication Profile (MP) did not accurately reflect…

Source: CMS Form 2567, inspection 2026-05-21, tag G0536 · view on CMS
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Inspection 2023-05-19

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Rn Performs Assessment

The agency failed to conduct an initial assessment (describes the patient's medical, physical, and psychosocial condition and needs) within the physician-ordered start of care date for one of seven sampled patients (Patient 7).

Source: CMS Form 2567, inspection 2023-05-19, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

RN 2 stated both medications were not included in Patient 2’s MP.

Source: CMS Form 2567, inspection 2023-05-19, tag G0536 · view on CMS
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Inspection 2018-01-26

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Acceptance Of Patients, Poc, Med Super

The Home Health Agency (HHA) failed to ensure the wound care provided followed the written Plan of Care established by the physician for two (2) of seven (7) sampled patients (Patients 4 and 6).

Source: CMS Form 2567, inspection 2018-01-26, tag G0158 · view on CMS
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Moderate Duties Of The Registered Nurse

The Home Health agency failed to ensure the home visit report was submitted timely for one (1) of seven (7) sampled patients (Patient 1).

Source: CMS Form 2567, inspection 2018-01-26, tag G0176 · view on CMS
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Moderate Clinical Records

The Home Health Agency (HHA) failed to maintain complete clinical records for two (2) of seven (7) sampled patients when: 1. For Patient 3, the "Home Health Certification and Plan of Care " (Form 485) authenticated by the physician, was not maintained in patient health record.

Source: CMS Form 2567, inspection 2018-01-26, tag G0236 · view on CMS
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