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Self-Help Homecare & Hospice

(415) 677-7628731 Sansome Street, Suite 100, San Francisco, CA 94111
CMS Certification Number 057570 · Non-Profit · Medicare-certified since 12/05/1983
8deficiencies since 2018
0serious
1inspections
2.5CMS 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 2024-07-11

· Recertification · 8 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The home health agency (HHA) failed to follow accepted standards of practice to prevent the spread of infection when expired medical supplies were found in the medical supply room.

Source: CMS Form 2567, inspection 2024-07-11, tag G0682 · view on CMS
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Minor State Toll Free Hh Telephone Hotline

The home health agency (HHA) failed to verbally inform the family member (FM) for one out of three home visit patients, (Patient 3) regarding the toll-free home health hotline telephone number of the California Department of Public Health (CDPH) and it's purpose for filing complaints.

Source: CMS Form 2567, inspection 2024-07-11, tag G0444 · view on CMS
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Minor A Review Of All Current Medications

The home health agency (HHA) failed to ensure medications were safe and effective for one of three patients (Patient 5) when one expired medication was found during a medication reconciliation at a home visit.

Source: CMS Form 2567, inspection 2024-07-11, tag G0536 · view on CMS
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Minor Reviewed, Revised By Physician Every 60 Days

The home health agency (HHA) failed to ensure case conferences (exchange of information between the patient's care team to enhance patient's care coordination) were held at the start of care for two of seven patients (Patient 4 and 5).

Source: CMS Form 2567, inspection 2024-07-11, tag G0588 · view on CMS
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Minor Revised Plan Of Care

The home health agency (HHA) failed to ensure the plan of care (POC) was updated following a resumption of care (ROC) for one of seven patients (Patient 1).

Source: CMS Form 2567, inspection 2024-07-11, tag G0592 · view on CMS
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Minor Provide Services In The Plan Of Care

The home health agency (HHA) failed to provide services as indicated in the plan of care (POC) for three out of seven sampled patients (Patients 2, 6, and 7) when: 1. For Patient 2, there were two missed skilled nursing (SN) visits, the reason for the missed visits were not documented, and the…

Source: CMS Form 2567, inspection 2024-07-11, tag G0710 · view on CMS
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Minor Preparing Clinical Notes

The home health agency (HHA) failed to ensure visit notes were completed in a timely manner for four of seven patients (Patients 1, 4, 5, and 6).

Source: CMS Form 2567, inspection 2024-07-11, tag G0716 · view on CMS
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Minor Communication With Physicians

The home health agency (HHA) failed to notify the physician about the discontinued medication for one out of seven sampled patients (Patient 3).

Source: CMS Form 2567, inspection 2024-07-11, tag G0718 · view on CMS
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