A1 Nursing Solution LLC
A home health agency in Columbus, Ohio 43229
733 East Dublin Granville Road, Suite 206, Columbus, Ohio 43229. (614) 955-1259.
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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 mean2
- 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.
What did inspectors find?
The last inspection on record was on Jan 18, 2024: a complaint inspection.
2 deficiencies cited in the last three years.
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 Jan 2024. Most serious: Element-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.
Jan 18, 2024: complaint inspection2 deficiencies
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Patients Receive Education And Training
The inspectors’ words, 327 words
“Patients receive education and training CFR(s): 484.60(d)(5) Ensure that each patient, and his or her caregiver(s) where applicable, receive ongoing education and training provided by the HHA, as appropriate, regarding the care and services identified in the plan of care. The HHA must provide training, as necessary, to ensure a timely discharge. This Element is not met as evidenced by: Based on policy review, record review, and staff interview, the agency failed to ensure patient, and his or her caregiver(s) where applicable, receive ongoing education and training provided by the agency, as appropriate, regarding the care and services identified in the plan of care for one of one patient reviewed with wound care (Patient #3). The total sample was three patients. The census was 94. Findings include: Review of the undated agency policy titled, “Wound Care,” revealed education with the patient and/or caregiver regarding wound healing will be ongoing and documented in the patient’s record. Review of Patient #3’s medical record physician ordered plan of care dated 11/22/23 revealed orders for the nurse to instruct Patient #3, or caregiver, to change the negative pressure wound therapy (wound vac canister) when three-quarters full, but no more than every seven days, and instruct Patient #3 on application of a wet to dry dressing as needed for wound vac failure. Review of the skilled nursing visit sheets from 11/22/23 to 11/29/23 (four visits) revealed no patient or caregiver instructions on wound healing, when the canister should be changed or instructions on application of a wet to dry dressing as needed for wound vac failure. Interview on 01/18/24 at 2:20 PM with Staff A confirmed there was no documentation education on wound healing and when the canister should be changed was not provided per order or policy. Staff A also confirmed the lack of patient education on application of a wet to dry dressing as needed for wound vac failure per order. This deficiency represents non-compliance investigated under Substantial Allegation 103352.”
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Preparing Clinical Notes
The inspectors’ words, 158 words
“Preparing clinical notes CFR(s): 484.75(b)(6) Preparing clinical notes; This Element is not met as evidenced by: Based on policy review, record review, and staff interview, the agency failed to ensure clinical notes were prepared for one of one patient reviewed with wounds (Patient #3). The total sample was three patients. The census was 94. Findings include: Review of the undated agency policy titled, “Wound Care,” revealed if a wound is noted during an assessment document the amount of drainage in the patient record. Review of Patient #3’s medical record revealed the skilled nurse visit sheets from 11/22/23 to 12/01/23 (five wound vac dressing changes) lacked documentation of the amount of drainage from the wound vac. The only documentation was that the wound dressing was changed, and the wound vac was applied. Interview on 01/18/24 at 2:20 PM with Staff A confirmed the wound drainage was not documented per policy. This deficiency represents non-compliance investigated under Substantial Allegation 103352.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 18, 2024 | Complaint inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Mar 20, 2020.
- Ownership: proprietary (for profit).
- No 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. deficiency on record in the last three years.
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, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- 2 owners or officers are people: Valentine Njeri (owns 5% or more directly, 100%); Valentine Njeri (runs it (operational or managerial control), 100%).
- 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.: “Fewer than 70 patients completed the survey.”
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 |
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 |
|---|---|
| Serenity Home Health Care Services, LLC | Not given |
| Excel Health Services | Not given |
| Better Home Care Services, Inc. | Not given |
| Family Healthcare Center, LLC | Not given |
| Alpine Home Health | Not given |
| Generations Healthcare Services, LLC | Not given |
| Homeland Health Services, LLC | Not given |
| Schrock Home Care LLC | 1.5 |
| Full-Care Home Health, LLC | Not given |
| Unity Home Health Care, Inc. | Not given |
| A Caring Healthcare LLC | Not given |
| Guardian Angel Home Care of Columbus | 3 |
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).
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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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