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Gundersen Palmer Lutheran Hosp & Clin-Home Health

(563) 422-6267200 Jefferson St, West Union, IA 52175
CMS Certification Number 167188 · Government Operated · Medicare-certified since 06/02/1987
7deficiencies 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 2026-09-16

· Recertification · 3 deficiencies · CMS source report (PDF)
Minor Health, Psychosocial, Functional, Cognition

The agency failed to provide complete comprehensive assessments for patients with wounds for 3 of 4 sampled patients with wounds (Patient #1, #2 and #5).

Source: CMS Form 2567, inspection 2026-09-16, tag G0528 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all medical supplies and all treatments for 1 of 4 sampled patients with a wound (Patient #5).

Source: CMS Form 2567, inspection 2026-09-16, tag G0574 · view on CMS
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Minor Required Items In Clinical Record

The agency failed to ensure the clinical record included a complete clinical record for 1 of 7 sampled patients (Patient #2).

Source: CMS Form 2567, inspection 2026-09-16, tag G1012 · view on CMS
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Inspection 2025-05-07

· Complaint · no deficiencies cited · CMS source report (PDF)

Inspection 2023-11-15

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Plan Of Care Must Include The Following

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 1 of 4 sampled patients with surveyor home visit observation and 1 of 10 current sampled patient records (Patients #1 and #2).

Source: CMS Form 2567, inspection 2023-11-15, tag G0574 · view on CMS
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Minor Services Provided By Hh Aide

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 4 of 4 sampled patients receiving home health aide services…

Source: CMS Form 2567, inspection 2023-11-15, tag G0800 · view on CMS
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Inspection 2020-11-05

· Focused Infection Control, Other-Fed, Recertification · 2 deficiencies · CMS source report (PDF)
Minor All Orders Recorded In Plan Of Care

The agency failed to update the Plan of Care with all new physician orders for 5 of 7 sampled patients with physical and occupational therapy orders.

Source: CMS Form 2567, inspection 2020-11-05, tag G0576 · view on CMS
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Minor Discharge And Transfer Summaries

The agency failed to complete and send a discharge summary to the physician or other health care professionals responsible for providing care to the patient after discharge within 5 business days of the patient's discharge for 2 of 4 sampled patients requiring a discharge summary (Patients #12 and…

Source: CMS Form 2567, inspection 2020-11-05, tag G1022 · view on CMS
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