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Humble Horizon Home Health LLC

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-05-27), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
433 E 19TH Street, Suite 2, Cheyenne, WY 82001
CMS Certification Number 537087
9deficiencies since 2018
3serious
4inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-20; CMS agency list file dated 2026-05-27. What the labels mean

Inspection 2022-11-22

· Complaint · 3 deficiencies · CMS source report (PDF)
Serious Home Health Aide Services

The agency failed to ensure home health aide services were provided by individuals who met personnel requirements.

Source: CMS Form 2567, inspection 2022-11-22, tag G0750 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to ensure home health aides (HHA) were assigned to specific patients by an appropriate skilled professional for 4 of 4 home health aides (employee #2, #3, #4, #5) assigned to patients the week of 11/20/22 through 11/26/22. The findings were: 1. Review of the staff assignments for…

Source: CMS Form 2567, inspection 2022-11-22, tag G0798 · view on CMS
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Minor A Qualified Hh Aide Successfully Completed:

The agency failed to provide individuals who met the personnel requirements of a certified nurse aide/home health aide for 3 of 5 sample patients (#1, #2, #4).

Source: CMS Form 2567, inspection 2022-11-22, tag G0754 · view on CMS
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Inspection 2021-07-27

· Complaint · 2 deficiencies · CMS source report (PDF)
Serious Home Health Aide Services

The agency failed to ensure home health aide (HHA) services were provided by individuals who met personnel requirements.

Source: CMS Form 2567, inspection 2021-07-27, tag G0750 · view on CMS
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Minor A Qualified Hh Aide Successfully Completed:

The agency failed to ensure home health aids (HHAs) completed training and competency evaluation in the home setting for 5 of 6 HHAs ( #1, #2, #4, #5, #6).

Source: CMS Form 2567, inspection 2021-07-27, tag G0754 · view on CMS
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Inspection 2021-05-14

· Complaint · 3 deficiencies · CMS source report (PDF)
Serious Home Health Aide Services

The agency failed to ensure a qualified professional completed home health aide care plans (G798), and further failed to ensure a registered nurse completed home health aide supervision visits (G814) for 14 of 14 sample patients (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14).

Source: CMS Form 2567, inspection 2021-05-14, tag G0750 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to ensure a registered nurse was available for supervision of home health aides, which included a qualified professional to complete home health aide care plans for 14 of 14 sample patients (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14).

Source: CMS Form 2567, inspection 2021-05-14, tag G0798 · view on CMS
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Minor Non-Skilled Direct Observation Every 60 Days

The agency failed to ensure a registered nurse completed home health aide supervision visits for 14 of 14 sample patients (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14).

Source: CMS Form 2567, inspection 2021-05-14, tag G0814 · view on CMS
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Inspection 2021-04-23

· Complaint · 1 deficiencies · CMS source report (PDF)
Minor Make Efforts To Resolve The Problem(S)

The agency failed to ensure efforts were made to resolve behavioral issues prior to discharging a patient for 1 of 3 sample patients (#3).

Source: CMS Form 2567, inspection 2021-04-23, tag G0466 · view on CMS
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