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San Benito Home Health Care

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
911- C Sunset Drive, Hollister, CA 95023
CMS Certification Number 557664
11deficiencies since 2018
0serious
2inspections
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 2022-03-04

· Recertification · 4 deficiencies · CMS source report (PDF)
Minor Immediate Reporting Of Abuse By All Staff

The agency failed to implement the policy and procedure related to allegation abuse for two of 10 sampled patients (Patient 1 and Patient 2) when allegation of abuse was not reported immediately to the California Department of Public Health (CDPH) and Adult Protective Services (APS).

Source: CMS Form 2567, inspection 2022-03-04, tag G0488 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure a thorough review of patients' medications, including all prescribed and over-the-counter medications when the medication profile was not updated for three of 7 active patients (Patients 7, 8 and 5).

Source: CMS Form 2567, inspection 2022-03-04, tag G0536 · view on CMS
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Minor High Risk, High Volume, Or Problem-Prone Area

The agency failed to include complaints involving 2 (Patients 1 and 2) out of 10 sampled patients in their performance improvement projects for the last year.

Source: CMS Form 2567, inspection 2022-03-04, tag G0648 · view on CMS
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Minor Responsible For All Day-To-Day Operations

The agency failed to maintain their medical supply storage when several medical supplies were found expired.

Source: CMS Form 2567, inspection 2022-03-04, tag G0948 · view on CMS
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Inspection 2019-01-25

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Review And Revision Of The Plan Of Care

The home health agency (HHA) failed to revise the plan of care for one of thirteen sampled patients (Patient 3) to include goals and interventions to care for Patient 3 when she developed a urinary tract infection (UTI).

Source: CMS Form 2567, inspection 2019-01-25, tag G0586 · view on CMS
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Moderate Infection Prevention

The home health agency (HHA) failed to follow accepted standards of practice to prevent the spread of infection for one of five sampled patients (Patient 7) with home visits when the clinician failed to disinfect medical equipment prior to placing it back into his supply travel bag.

Source: CMS Form 2567, inspection 2019-01-25, tag G0682 · view on CMS
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Minor Written Notice Of Patient'S Rights

The agency failed to ensure the written notice of the patient's rights was provided, explained, and understood for one of 13 sampled patients ( Patient 5) and her caregiver/family.

Source: CMS Form 2567, inspection 2019-01-25, tag G0412 · view on CMS
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Minor A Review Of All Current Medications

The home health agency (HHA) failed to provide an accurate comprehensive medication profile for five of 13 sampled patients ( Patient 5,9,6,7 and 8 ) when: 1. For Patient 5 and 9, the medication profile did not reflect the medications Patient 5 and 9 were taking at home.

Source: CMS Form 2567, inspection 2019-01-25, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The home health agency (HHA) failed to ensure the individualized plan of care (POC) included specific interventions and goals related to the care of one of 13 sampled patients (Patient 1) who had diabetes (a disease that occurs when your blood sugar, is too high) and receiving insulin injections…

Source: CMS Form 2567, inspection 2019-01-25, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency (HHA) failed to ensure services were provided as ordered by a physician for one of 13 sampled patients (Patient 13) when two skilled nursing visits were made without a physician's order.

Source: CMS Form 2567, inspection 2019-01-25, tag G0580 · view on CMS
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Minor Provide Services In The Plan Of Care

The home health agency (HHA) failed to provide services ordered by the physician as indicated in the plan of care (POC) for two of 13 sampled patients (Patient 6 and Patient 12) when for Patient 6, she did not recieve the number of physical therapy (PT) visits as written in the POC and for Patient…

Source: CMS Form 2567, inspection 2019-01-25, tag G0710 · view on CMS
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