Comfort and Passionate Health Services LLP
A home health agency in Reynoldsburg, Ohio 43068
6420 East Main Street, Suite 205, Reynoldsburg, Ohio 43068. (614) 344-4577.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 1.5of 5 quality of patient care rating
- Not rated patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- 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.
- 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 Mar 13, 2024: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Mar 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.
Mar 13, 2024: complaint inspection1 deficiency
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Plan Of Care Must Include The Following
The inspectors’ words, 569 words
“Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient’s mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient’s risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This Element is not met as evidenced by: Based on Medical Record Review (MRR), Complaint Log review, and staff interview, the agency failed to order an appropriate range and frequency for Home Health Aide (HHA) services for 2 (Patients #1 and #3) of 3 patients that were receiving HHA services provided by the agency. This had the potential to affect all patients receiving HHA services from the agency. The census was 96. Findings Include: 1. On 03/12/24 at 11:10 A.M. a review of the Complaint Log revealed there was a concern listed related to a situation when Public Consulting Group (PCG) called the agency concerning an allegation that Patient #1 was not receiving care and services as ordered and concerning Patient #1 giving Staff C money to provide services. A review of the Complaint Log revealed the agency did an investigation, and a review of the investigation revealed an example of the nurse aide services time sheets, and the Staff C’s clock-in and clock-out time sheets revealed Staff C provided four hours of Home Health Aide (HHA) services during the week that PCG had requested for review. An interview with the DON and the Administrator during this review confirmed care was provided for four hours that week. On 03/12/24 at 11:45 A.M. a Medical Record Review (MRR) for Patient #1 revealed orders were listed on the 485/Physician order sheet for HHA services “up to” 10 hours each week for the current certification period, and a review of the 485/Physician order sheet for the certification period between 12/17/23-02/14/24 revealed the same “up to” orders were written for HHA services. Further review of the HHA time sheets revealed Staff C was consistently providing four hours of HHA services for Patient #1 each week. On 03/12/24 at 3:00 P.M. an interview with Staff C revealed Staff C provides care and services for Patient #1 between 4-6 hours a week, but he/she has no idea how many hours he/she can provide services or what the specific ordered hours are for HHA services for Patient #1. 2. Review of the medical record for Patient #3 revealed the current 485/physician orders for HHA services were written for “up to” 28 hours a week for the certification period and care was consistently provided 21 hours each week. An interview with the Administrator and the Director of Nursing (DON) at the time of the MRR’s revealed “up to” orders cannot be avoided because it is too hard to adjust for patient needs when they are not always available.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 13, 2024 | Complaint inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Jul 19, 2021.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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 and occupational therapy.
- Doesn’t offer 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?
- 8 owners or officers are people: Edien Bebongachem (owns 5% or more directly, 25%); Sebastien Ndikum (owns 5% or more directly, 25%); Kevin C. Foy (owns 5% or more directly, 25%); Elvis Njinga Nkwenya (owns 5% or more directly, 25%); Edien Bebongachem (corporate director); Sebastien Ndikum (runs it (operational or managerial control)); Kevin C. Foy (corporate director); Elvis Njinga Nkwenya (managing employee (on the payroll)).
- 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 rates its quality of patient care 1.5 of 5.
- 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, 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 | 1.5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | Not rated |
How does it compare nearby?
- Of the 166 agencies CMS’s data show serving patients in ZIP code 43068, where this agency’s office is, 42 have a quality of patient care rating; the middle one is 3 of 5, and this one is rated 1.5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| A Tender Nursing Care Company | 3 |
| Ultimate Home Healthcare Services, Inc. | Not given |
| Signature Care, Inc. | 5 |
| Love’n Comfort Home Health Care, LLC | Not given |
| Ambassador Home Health Services | Not given |
| Labelle Home Health Care Services, LLC | Not given |
| Nina’s Health Care Services, LLC | Not given |
| Autumn Springs Health Care Services, Inc. | Not given |
| Assist Home Health Care, LLC | Not given |
| Comfort Health Care Agency, LLC | Not given |
| 24-Seven Home Health Care, LLC | Not given |
| Frontier Health Care Services, LLC | Not given |
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
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.