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Calvary Hill Health Services LLC

(214) 448-65673663 Rolling Meadows Dr, Midlothian, TX 76065
CMS Certification Number 747106 · Proprietary · Medicare-certified since 04/09/2009
3deficiencies since 2018
0serious
1inspections
n/aCMS 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 · 3 deficiencies · CMS source report (PDF)
Moderate Home Health Aide Assignments And Duties

The agency failed to ensure a home health aide was given written patient care instructions prepared by a registered nurse for one (Patient # 2) of one patient record reviewed with home health aide services.

Source: CMS Form 2567, inspection 2025-03-17, tag G0798 · view on CMS
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Minor Verbal Orders

The agency failed to ensure services that were provided based on a physician's verbal orders, in that: the agency failed to ensure that the verbal orders were authenticated and dated by the physician in accordance with the HHA's internal policies, in two (Patients #1 and #2) of two records reviewed…

Source: CMS Form 2567, inspection 2025-03-17, tag G0584 · view on CMS
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Minor Reviewed, Revised By Physician Every 60 Days

The agency failed to ensure that the patient’s individualized plan of care (POC) had been reviewed and revised by the patient’s physician no less frequently than once every 60 days, in two (Patients # 2 and # 4) of three discharged skilled patient records reviewed.

Source: CMS Form 2567, inspection 2025-03-17, tag G0588 · view on CMS
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