Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 757737 (X3) Date Survey Completed 03/19/2026
Name of Provider or Supplier Alaunus Home Health, Inc Street Address, City, State 110 S Rosemead Blvd. Suite R4, Pasadena, CA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
G0000 The following reflects the findings of the California Department of Public Health during a complaint validation survey conducted from 3/16/2026 to 3/19/2026.

 

Complaint intake number: 2742600

 

Active patients: 43

Sampled patients: 7

Home visits: 3

Closed Record reviews: 2

 

The following Conditions of Participation was not met: 

484.60 Care Planning, Coordination of Services, and Quality of Care.