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Franklin County Public Health Services Chha

(518) 481-1710355 West Main Street, Malone, NY 12953
CMS Certification Number 337086 · Government Operated · Medicare-certified since 07/01/1966
21deficiencies since 2018
0serious
4inspections
2.5CMS 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 2024-10-10

· Recertification · 10 deficiencies · CMS source report (PDF)
Moderate Encoding And Transmitting Oasis

The agency failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS), regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within thirty days of completing the assessment of the…

Source: CMS Form 2567, inspection 2024-10-10, tag G0372 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to ensure in one of one record reviewed (Patient # 1) the aide Plan of Care (POC) was complete to meet the individualized needs of the patient.

Source: CMS Form 2567, inspection 2024-10-10, tag G0798 · view on CMS
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Minor Participate In Care

The agency failed to ensure that patients are informed before care is initiated of the frequency of services to be provided in one out of ten records reviewed (Patient # 7).

Source: CMS Form 2567, inspection 2024-10-10, tag G0434 · view on CMS
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Minor Payment From Federally Funded Programs

The agency failed to ensure that patients are informed of their financial liability in one out of ten records reviewed (Patient # 7).

Source: CMS Form 2567, inspection 2024-10-10, tag G0440 · view on CMS
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Minor Rn Performs Assessment

Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

Source: CMS Form 2567, inspection 2024-10-10, tag G0514 · view on CMS
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Minor 5 Calendar Days After Start Of Care

Failure to complete the comprehensive assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes.

Source: CMS Form 2567, inspection 2024-10-10, tag G0520 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The agency failed to ensure in one out of ten records (Patient # 6) the comprehensive assessment included a complete picture of the patient's status to assist the agency in developing the patient's plan of care.

Source: CMS Form 2567, inspection 2024-10-10, tag G0528 · view on CMS
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Minor Last 5 Days Of Every 60 Days Unless:

Failure to conduct the comprehensive assessment the last 5 days of every 60 days beginning with the start-of-care date, unless there is a beneficiary elected transfer, significant change in condition; or discharge and return to the same HHA during the 60-day episode has the potential to result in…

Source: CMS Form 2567, inspection 2024-10-10, tag G0546 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in one of ten patient records reviewed (Patient # 10).

Source: CMS Form 2567, inspection 2024-10-10, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

Source: CMS Form 2567, inspection 2024-10-10, tag G0590 · view on CMS
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Inspection 2022-08-10

· Recertification · 1 deficiencies · CMS source report (PDF)
Minor A Review Of All Current Medications

Failure to update and maintain an accurate medication review has the potential to result in the patient experiencing adverse medication effects, drug reactions and/or interactions and the inaccurate administration of physician ordered medications.

Source: CMS Form 2567, inspection 2022-08-10, tag G0536 · view on CMS
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Inspection 2021-11-04

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure services are provided in accordance with the physician's Plan of Care (POC) in one of ten patient records (Patient # 5).

Source: CMS Form 2567, inspection 2021-11-04, tag G0572 · view on CMS
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Moderate Contents Of Clinical Record

The agency failed to ensure in one of ten records (Patient # 9) that professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

Source: CMS Form 2567, inspection 2021-11-04, tag G1010 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in four of ten patient records (Patient # 2, 4, 5 and 10).

Source: CMS Form 2567, inspection 2021-11-04, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

Failure to consult with the physician when changes occur in the patient's condition has the potential for unmet patient needs and/or negative patient outcomes.

Source: CMS Form 2567, inspection 2021-11-04, tag G0590 · view on CMS
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Inspection 2018-11-16

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure services are provided in accordance with the Plan of Care (POC) in three out of thirteen records (Patient # 2, 7, 8).

Source: CMS Form 2567, inspection 2018-11-16, tag G0572 · view on CMS
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Moderate Contents Of Clinical Record

The agency failed to ensure in three out of seven records (Patient # 2, 9, 11) professional staff maintain an accurate, current and clearly documented record related to the provision of the patient's care.

Source: CMS Form 2567, inspection 2018-11-16, tag G1010 · view on CMS
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Minor Participate In Care

Failure to provide the patient with information concerning what disciplines will be furnishing care and the frequency of the visits has the potential to result in the patient's inability to exercise their rights.

Source: CMS Form 2567, inspection 2018-11-16, tag G0434 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure a complete Plan of Care (POC) was developed to meet the individualized needs of the patient in thirteen out of thirteen records (Patient # 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13).

Source: CMS Form 2567, inspection 2018-11-16, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

Failure to notify the physician of changes that alter the POC and/or measurements outside of the established parameters has the potential to result in unmet patient needs and negative patient outcomes.

Source: CMS Form 2567, inspection 2018-11-16, tag G0590 · view on CMS
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Minor Duties Of A Hh Aide

The agency failed to ensure services were provided in accordance with the aide Plan of Care (POC) in one out of two records (Patient # 5) of patients receiving paraprofessional aide services.

Source: CMS Form 2567, inspection 2018-11-16, tag G0802 · view on CMS
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