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Acceptance to service — what we offer, and the limits we work within

Federal home health regulations (42 CFR §484.105(i)) require every home health agency to publish accurate information about the services it offers and any limitations on specialty services, duration or frequency. This page is that information, alongside a plain summary of how we decide whether we can safely accept a referral.

Services we offer

What RHHS provides

  • Skilled nursing — hourly, shift-based and per-visit
  • Home health aide services, supervised by a registered nurse
  • Physical, occupational and speech therapy
  • Medical social work
  • Medication management and wound care
  • Mental health evaluation and counselling
  • Neuro-rehabilitation
  • Respite and hospice support
  • EPSDT supplemental services for patients 21 and under with full-scope Medi-Cal
Limitations

What we may not be able to take on

The regulation asks agencies to be specific about limits on specialty services, duration and frequency. Being honest here protects patients — and saves referring offices time.

  • Care needing skills, equipment or supplies we do not currently hold
  • Visit frequency or shift length beyond what our present staffing covers safely
  • Patients living outside the area our clinicians can reach
  • Any case where accepting would reduce the quality or safety of care for our existing patients

Staffing and caseload change, so every referral is assessed individually. If we cannot take a patient we say so straight away and help find another provider.

Service area

Where we can accept patients

Our clinicians work from the Stanton office and travel to patients in the surrounding Orange County communities. A patient who lives outside the approved service area cannot be accepted.

Our office: Stanton, CaliforniaClinicians travel across the surrounding Orange County communitiesCall 657 227 8707 to check your address
How we decide

Four things we assess on every referral

We accept a patient only when we have determined that we have the resources, personnel, competencies and operational capacity to meet their needs safely.

  • The anticipated needs of the patient — skilled nursing, therapy, social work or aide services; specialised needs such as wound care, infusion or disease-specific management; the frequency, duration and intensity of care; equipment and supplies; home safety; and location.
  • Our current caseload and case mix — patient volume, the acuity of the patients we already serve, and whether we can provide visits within the required timeframes without affecting their care.
  • Our staffing levels — available clinicians, scheduling and workload, weekend, holiday and after-hours coverage, geographic coverage, supervisory availability, and our ability to start care within the required regulatory and physician-ordered timeframes.
  • The skills and competencies of our staff — licensure and certification, validated clinical competencies, specialised training, experience with similar conditions, and the ability to meet communication, language, cultural and accessibility needs.
The decision

How a referral is reviewed

1

Clinical review

Referral information is reviewed by a qualified clinical manager, director of patient care services, or designee.

2

Capacity check

We determine whether the patient's needs can be safely met with the personnel and resources available.

3

Further information

We may ask the referral source, physician or hospital for additional information where it is needed to decide.

4

Documented decision

The acceptance or non-acceptance decision is documented in accordance with agency procedures.

5

If we cannot accept

The referral source is notified promptly and, where appropriate, we help identify alternative providers.

Non-acceptance

When we may decline a referral

  • The patient's needs exceed our clinical capabilities
  • The necessary staff competencies are unavailable
  • Staffing levels are insufficient for safe, timely care
  • The services required fall outside our scope of practice or licensure
  • The patient lives outside our approved service area
  • Necessary equipment, supplies or support resources are unavailable
  • Acceptance would compromise the quality or safety of care for our existing patients

The reason for non-acceptance is documented, and we tell the referring office promptly so the patient can be placed elsewhere without delay.

Acceptance decisions are made without discrimination and in accordance with applicable federal, state and local laws. RHHS does not discriminate in the provision of health care services on the basis of sex, health, race, colour, creed, age, national origin, or physical or mental disability. Language interpreters are provided for patients and families at no additional cost.

DocumentDetail
PolicyPatient Acceptance-to-Service Policy
Effective date22 June 2026
ReviewReviewed at least annually, and whenever our services change
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