Pinnacle Home Health Agency Inc.
A home health agency in Patterson, California 95363
254 Sperry Avenue, Patterson, California 95363. (925) 954-6178.
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The short answer
Record last released by CMS on Oct 21, 2026.
- Not rated quality of patient care rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Oct 17, 2024: a complaint inspection.
2 deficiencies cited in the last three years, 2 of them at condition level, the most serious.
2 deficiencies at condition level, the more serious of CMS’s two levels
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Oct 2024. Most serious: Condition-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Oct 17, 2024: complaint inspection2 deficiencies
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Basis And Scope
The inspectors’ words, 347 words
“Basis and Scope CFR(s): §484.1 Basis and Scope (a) Basis. This part is based on: (1) Sections 1861(o) and 1891 of the Act, which establish the conditions that an HHA must meet in order to participate in the Medicare program and which, along with the additional requirements set forth in this part, are considered necessary to ensure the health and safety of patients; and (2) Section 1861(z) of the Act, which specifies the institutional planning standards that HHAs must meet. (b) Scope. The provisions of this part serve as the basis for survey activities for the purpose of determining whether an agency meets the requirements for participation in the Medicare program. This Condition is not met as evidenced by: Based on interview and record review, the Home Health Agency operated with a suspended and expired license. The Agency’s license was suspended on 4/2/24 and expired on 7/15/24. The agency continued to accept patients and bill Medicare. Record review of the document “Barclays California Code of Regulations,” dated 2013, showed “No person, firm, partnership, association, corporation, receiver, political subdivision of the State or other governmental agency within the State shall establish, operate or maintain a home health agency or hold out, represent or advertise by any means that it operates a home health agency without first obtaining a license from the Department.” During a review of the California Electronic Licensing Management System (ELMS), ELMS indicated the Agency’s license was suspended by the Franchise Tax Board 4/2/24. During a review of the California Secretary of State’s website, the website indicated the Agency’s license was suspended on 4/2/24. During an observation on 10/17/2024 at 10:05 a.m. at the Agency’s office, the Agency’s license showed it had expired on 7/15/2024. In a concurrent interview, the Director of Nursing (DON) confirmed the agency’s license had expired on July 15, 2024. The DON stated the Agency had been accepting patients for admission since that date and continued to bill Medicare. Record review of the document “Patient Report Census,” dated 10/17/2024, showed the Agency billed Medicare for patient services from April through September 2024.”
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Compliance With Federal, State, Local Law
The inspectors’ words, 271 words
“Compliance with Federal, State, Local Law CFR(s): 484.100 Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients. The HHA and its staff must operate and furnish services in compliance with all applicable federal, state, and local laws and regulations related to the health and safety of patients. If state or local law provides licensing of HHAs, the HHA must be licensed. This Condition is not met as evidenced by: Record review of the document “Barclays California Code of Regulations,” dated 2013, showed “No person, firm, partnership, association, corporation, receiver, political subdivision of the State or other governmental agency within the State shall establish, operate or maintain a home health agency or hold out, represent or advertise by any means that it operates a home health agency without first obtaining a license from the Department.” During a review of the California Electronic Licensing Management System (ELMS), ELMS indicated the Agency’s license was suspended by the Franchise Tax Board 4/2/24. During a review of the California Secretary of State’s website, the website indicated the Agency’s license was suspended on 4/2/24. During an observation on 10/17/2024 at 10:05 a.m. at the Agency’s office, the Agency’s license showed it had expired on 7/15/2024. In a concurrent interview, the Director of Nursing (DON) confirmed the agency’s license had expired on July 15, 2024. The DON stated the Agency had been accepting patients for admission since that date and continued to bill Medicare. Record review of the document “Patient Report Census,” dated 10/17/2024, showed the Agency billed Medicare for patient services from April through September 2024.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 17, 2024 | Complaint inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Apr 22, 2016.
- Ownership: proprietary (for profit).
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, medical social services and home health aide services.
- Doesn’t offer speech pathology.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- 7 owners or officers are people: Mary Samson (owns 5% or more directly, 68%); Cedric Sanchez (owns 5% or more directly, 32%); Cedric Sanchez (corporate officer, 32%); Cedric Sanchez (corporate director, 32%); Mary Samson (corporate director); Victorino C Samson (corporate director); Victorino C Samson (runs it (operational or managerial control)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
How do patients fare?
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of patient episodes for this measure is too small to report.”
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “No survey results are available for this period.”
- CMS compares it with the national rate: discharged to the community, worse.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | Not rated |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | Not rated |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 63.27% (worse than the national rate) |
How does it compare nearby?
- CMS gives this agency no quality of patient care rating to compare.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Pinnacle Home Health Agency Inc. This home health agency | Not given |
| Covenant Care at Home | 4 |
| Sutter Care at Home | 4 |
| Focus Health | 2.5 |
| Compassionate Care Home Health Agency, LLC | 3 |
| Warm Springs Home Health, Inc. | 4.5 |
| Lifeguard Home Health | 3.5 |
| Premier Home Health Providers Inc. | 4.5 |
| Global Healthcare Services, LLC | 3.5 |
| Infinity Care Services, Inc. | 3.5 |
| Valley Home Health | 3.5 |
| National Home Health Services, Inc. | 2.5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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