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Angels of Mercy Homecare

(765) 651-32422509 W 2ND Street, Marion, IN 46952
CMS Certification Number 157554 · Proprietary · Medicare-certified since 01/08/2004
21deficiencies since 2018
4serious
3inspections
3.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2025-03-17

· Recertification · 8 deficiencies · CMS source report (PDF)
Serious Care Planning, Coordination, Quality Of Care

The home health agency failed to ensure the POC included an accurate medication list (see Tag G574), failed to ensure wound care was performed according to the current physician order (see G580), failed to notify the physician of changes in the patient’s arm circumference measurement and failed to…

Source: CMS Form 2567, inspection 2025-03-17, tag G0570 · view on CMS
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Moderate Discharge Or Transfer Summary Content

The home health agency failed to ensure a discharge summary was sent to the patient’s physician for 1 of 5 discharge patient records reviewed (Patient #14).

Source: CMS Form 2567, inspection 2025-03-17, tag G0564 · view on CMS
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Moderate Infection Prevention

The home health agency failed to ensure all staff followed standard precautions and infection control policies and procedures for 6 of 7 home visit observations (Patient #1, 2, 3, 4, 5, 6).

Source: CMS Form 2567, inspection 2025-03-17, tag G0682 · view on CMS
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Minor 5 Calendar Days After Start Of Care

The home health agency failed to ensure all therapy evaluations were conducted within five calendar days after the SOC for 4 of 8 active records reviewed of patients with physical therapy and/or occupational therapy services ordered (Patients #1, 5, 9, 12).

Source: CMS Form 2567, inspection 2025-03-17, tag G0520 · view on CMS
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Minor Plan Of Care Must Include The Following

The home health agency failed to ensure the POC included an accurate medication list for 2 of 7 home visit observations (Patient #1, 2).

Source: CMS Form 2567, inspection 2025-03-17, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency failed to ensure wound care was performed according to the current physician order for 1 of 3 home visit observations of a SN visit where wound care was performed (Patient #7).

Source: CMS Form 2567, inspection 2025-03-17, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The home health agency failed to notify the physician of changes in the patient’s arm circumference measurement for 1 of 1 record reviewed of a patient with a PICC line (Patient #2) and failed to notify the physician of an increase in wound measurements for 2 of 3 home visit observations of a SN…

Source: CMS Form 2567, inspection 2025-03-17, tag G0590 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

The skilled professional failed to use an appropriate sized blood pressure (BP) cuff to assess a patient’s BP for 2 of 7 home visit observations (Patient #1, 7), failed to perform a complete assessment of a patient’s lung, heart, and bowel sounds for 3 of 7 home visit observations (Patient #2, 3…

Source: CMS Form 2567, inspection 2025-03-17, tag G0706 · view on CMS
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Inspection 2022-03-22

· Focused Infection Control, Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The home health agency failed to ensure the patients received all services and interventions as ordered in the plan of care for 1 of 12 active records reviewed (Patient #6).

Source: CMS Form 2567, inspection 2022-03-22, tag G0572 · view on CMS
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Moderate Covid-19 Vaccination Of Home Health Agency Staff

The home health agency failed to ensure their policies and procedures included the specific additional precautions in place for the prevention of COVID-19 transmission, for the agency's unvaccinated staff with an approved temporary, religious, or medical exemption to the COVID-19 vaccination for 1…

Source: CMS Form 2567, inspection 2022-03-22, tag G0687 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The home health agency failed to ensure the comprehensive assessment included a complete and thorough assessment of all patient conditions and diseases for 4 of 12 active records reviewed (Patients # 1, 10, 11, and 12).

Source: CMS Form 2567, inspection 2022-03-22, tag G0528 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the plan of care was patient specific, and included all pertinent diagnoses, durable medical equipment (DME), medications and treatments, safety measures appropriate to the patient, patient - specific discharge planning, and patient-specific interventions and measurable…

Source: CMS Form 2567, inspection 2022-03-22, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The home health agency failed to ensure the physician was notified of a change in patient condition for 5 of 12 active records reviewed (Patients #4, 6, 10, 11, and 12).

Source: CMS Form 2567, inspection 2022-03-22, tag G0590 · view on CMS
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Minor Communication With All Physicians

The home health agency failed to ensure the physician who ordered and signed the home care orders, was notified of a medication change when ordered by another physician, for 1 of 1 home visit observation of patient receiving physical therapy services only (Patient #1).

Source: CMS Form 2567, inspection 2022-03-22, tag G0602 · view on CMS
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Minor Services Provided By Hh Aide

The home health agency failed to ensure the home health aide (HHA) performed tasks only as ordered on the aide care plan for 1 of 1 home health aide visit observed (Patient #6).

Source: CMS Form 2567, inspection 2022-03-22, tag G0800 · view on CMS
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Inspection 2019-05-31

· Recertification · 6 deficiencies · CMS source report (PDF)
Serious Release Of Patient Identifiable Oasis Info.

The agency failed to ensure a contract existed between Angels of Mercy and another entity (#2) to review and submit its Outcome and Assessment Information (OASIS) documents for all 574 current patients, and up to and including discharged patients and failed to ensure the protection of clinical…

Source: CMS Form 2567, inspection 2019-05-31, tag G0350 · view on CMS
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Serious Organization And Administration Of Services

The agency failed to ensure administrative, patient care, and supervisory functions were not delegated to another entity (See G940); failed to ensure policies, procedures, and other documents were adopted by Angels of Mercy (See G942) for 1 of 1 agency.

Source: CMS Form 2567, inspection 2019-05-31, tag G0940 · view on CMS
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Serious Clinical Records

The agency failed to ensure the protection of clinical records from unauthorized use for 10 of 14 clinical records reviewed, up to, and including all current 574 patient records.

Source: CMS Form 2567, inspection 2019-05-31, tag G1008 · view on CMS
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Moderate Governing Body

The Governing Body of Angels of Mercy failed to ensure policies, procedures, and other documents were adopted by the agency.

Source: CMS Form 2567, inspection 2019-05-31, tag G0942 · view on CMS
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Moderate Protection Of Records

The agency failed to ensure the protection of clinical records from unauthorized use for 10 of 14 clinical records reviewed, up to, and including all current 574 patient records.

Source: CMS Form 2567, inspection 2019-05-31, tag G1028 · view on CMS
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Minor Have A Confidential Clinical Record

The agency failed to ensure the protection of clinical records from unauthorized use for 10 of 14 clinical records reviewed, with the potential to affect all current 574 patient records.

Source: CMS Form 2567, inspection 2019-05-31, tag G0438 · view on CMS
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