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Domain Medical Home Health & Staffing, Inc
(703) 299-49492121 Eisenhower Ave Suite 200, Alexandria, VA 22314
CMS Certification Number 497674 · Proprietary · Medicare-certified since 09/28/2011
4deficiencies since 2018
0serious
1inspections
4CMS 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 2022-08-10
· Recertification · 4 deficiencies · CMS source report (PDF)Moderate Transfer And Discharge
The agency's staff failed to provide the patient and/or representative with a copy of the transfer and discharge policies of the agency for ten (10) of ten (10) patients whose clinical records were reviewed in the survey sample.
Source: CMS Form 2567, inspection 2022-08-10, tag G0452 · view on CMS
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Moderate Conformance With Physician Orders
The agency staff failed to follow the plan of care for two (2) of ten (10) patients whose clinical records were reviewed in the survey sample (clinical records #4 and 5).
Source: CMS Form 2567, inspection 2022-08-10, tag G0578 · view on CMS
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Minor Only As Ordered By A Physician
Specifically, staff applied a dressing to a wound that was not ordered by a physician.
Source: CMS Form 2567, inspection 2022-08-10, tag G0580 · view on CMS
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Minor Required Items In Clinical Record
The agency failed to ensure clinical records contained all required elements including but not limited to clinical notes.
Source: CMS Form 2567, inspection 2022-08-10, tag G1012 · view on CMS
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