Comfort Care Home Health
Inspection 2026-08-13
· Complaint · 1 deficiencies · CMS source report (PDF)An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to update the comprehensive assessment at discharge for two of five sampled patients (Patient 3 and Patient 14).
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Inspection 2026-06-11
· Complaint · 4 deficiencies · CMS source report (PDF)The Home Health Agency (HHA - an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the clinical manager provided clinical oversight of all patient care services for three of seven sample selected patients (Patient 3, Patient 7, and…
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The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure patient's clinical records were completed and authenticated (formally signed and dated by the responsible healthcare staff) for two of seven…
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The HHA failed to ensure four of seven sample patients (Patient 3, Patient 7, Patient 8, and Patient 9) received all services listed in their Plan of Care (POC - a detailed, written document outlining the patient's specific needs, including skilled nursing care, rehabilitation, and supportive care…
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The Home Health Agency (HHA - an organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure that patient clinical records were safeguarded through a secured platform for six of seven sample patients (Patient 3, Patient 7, Patient 8, Patient 9…
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Inspection 2026-04-17
· Complaint · 20 deficiencies · CMS source report (PDF)An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) regarding Patient Rights were met as…
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An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Comprehensive Assessment of…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure that Certified Home Health Aides (CHHAs) were evaluated for competency prior to providing care for three of seven sampled patients (Patient 1, Patient 3, and Patient 7).
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to provide written patient care instructions for the Certified Home Health Aides (CHHA) care and services, for two of seven sampled patients (Patient 1 and Patient 7).
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An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to investigate and resolve a complaint submitted by a patient's family for one of seven sampled patients (Patient 5).
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An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the process for addressing and documenting complaints/grievances by the patient and/or family or caregivers was completed for one out of seven sampled patients (Patient 5).
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An organization that delivers skilled nursing and other therapeutics service to a patient at home) nursing staff failed to assess the pressure ulcer wound (injuries to the skin due to prolong pressure on the skin) for one of seven sampled patients (Patient 3).
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An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to properly assess the continuing need for home care services for two of seven sampled patients (Patient 1 and Patient 6).
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Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to maintain an accurate, current medication profile for two of seven sampled patients (Patient 1 and Patient 6).
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Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to revise and update the plan of care to reflect the most current wound status and treatment order, for one of seven sampled patients (Patient 3).
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An agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to notify the patient's attending physician of discharge needs and failed to obtain a physician discharge order for one of two sampled discharged patients (Patient 5).
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to maintain documentation of the CHHAs training records for three of seven sampled patients who were receiving CHHA service (Patient 1, Patient 3, and Patient 7).
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The home health agency (HHA – an organization that delivers skilled nursing and other therapeutic services to a patient's personal residence) failed to ensure Certified Home Health Aides (CHHA) care was supervised for one of seven sample patients (Patient 1) This failure had the potential to result…
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An organization that delivers skilled nursing and other therapeutics service to a patient at home) administrator (ADM) failed to ensure the process of addressing, documenting, and investigating complaints and/or grievances by patient and/or patient family or caregiver was completed for one of seven…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure that Certified Home Health Aides (CHHAs) were competent to provide care for three of seven sampled patients (Patient 1, 3, and 5).
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure the clinical records included complete and accurate assessments from the most recent home health admission, clinical notes, plans of care, and physician orders that…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure that discharged patients had a discharge summary that included the information regarding the physician responsible for the home health plan of care, reason for admission…
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