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Home Care Services of Northwest Indiana

(219) 879-9300240 Commerce Square Drive, Michigan City, IN 46360
CMS Certification Number 157533 · Proprietary · Medicare-certified since 05/29/2001
11deficiencies since 2018
1serious
2inspections
3CMS 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 2021-08-06

· Complaint · 2 deficiencies · CMS source report (PDF)
Moderate Authentication

The home health agency failed to ensure all clinical records were clear, complete and appropriately authenticated in 5 of 7 clinical records reviewed.

Source: CMS Form 2567, inspection 2021-08-06, tag G1024 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to provide services and treatments only as ordered by a physician in 2 of 5 records reviewed.

Source: CMS Form 2567, inspection 2021-08-06, tag G0580 · view on CMS
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Inspection 2021-02-18

· Complaint · 9 deficiencies · CMS source report (PDF)
Serious Organization And Administration Of Services

The home health agency failed to ensure the state agency was notified of the facility location change and the change of the facility parent and branch prior to the home health agency making changes to the organization.

Source: CMS Form 2567, inspection 2021-02-18, tag G0940 · view on CMS
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Moderate Plan Of Care

The home health agency failed to ensure patients received the services ordered in the plan of care in 1 of 2 clinical records reviewed needing only skilled nursing services out of a total of 10 clinical records reviewed.

Source: CMS Form 2567, inspection 2021-02-18, tag G0572 · view on CMS
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Moderate Infection Prevention

The home health agency failed to ensure all employees practiced standard precautions and followed agency infection control policies and procedures at 1 of 4 home health visits.

Source: CMS Form 2567, inspection 2021-02-18, tag G0682 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to ensure the registered nurse provided a complete and appropriate care plan for the home health aide [HHA] in 1 of 1 home visits conducted with a home health aide.

Source: CMS Form 2567, inspection 2021-02-18, tag G0798 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the individualized plan of care included all treatment orders in 3 of 3 clinical records reviewed needing wound care, out of a total of 10 clinical records reviewed.

Source: CMS Form 2567, inspection 2021-02-18, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to ensure the skilled nurse promptly informed the physician of patient assessment findings outside of the patient's normal parameters in 2 of 2 clinical records reviewed of patients receiving only skilled nursing services, out of a total of 10 clinical records reviewed.

Source: CMS Form 2567, inspection 2021-02-18, tag G0590 · view on CMS
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Minor Integrate All Services

The home health agency failed to ensure they coordinated care with other health care providers that provided care to agency patients in 1 of 2 discharge records reviewed, out of a total of 10 clinical records reviewed.

Source: CMS Form 2567, inspection 2021-02-18, tag G0606 · view on CMS
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Minor Visit Schedule

The home health agency failed to ensure their patients received a written visit schedule in 2 of 4 home visits conducted.

Source: CMS Form 2567, inspection 2021-02-18, tag G0614 · view on CMS
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Minor Officer, A Director, Agent, Managing Employee

The home health agency failed to ensure the name of the new administrator and clinical manager was disclosed to the state agency.

Source: CMS Form 2567, inspection 2021-02-18, tag G0856 · view on CMS
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