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My Care at Home, Home Health Care Services, LLC

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
106 W Boggstown Rd, Shelbyville, IN 46176
CMS Certification Number 15K150
7deficiencies since 2018
0serious
1inspections
n/aCMS 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 2019-11-13

· Complaint, Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Executive Responsibilities For Qapi

The agency failed to ensure the governing body maintained a quality assessment and performance improvement (QAPI) program to evaluate its effectiveness of patient care for all 8 active patients of the agency.

Source: CMS Form 2567, inspection 2019-11-13, tag G0660 · view on CMS
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Moderate Governing Body

The governing body failed to ensure the agency maintained a quality assessment and performance improvement program (QAPI) or that a frequency for data collection had been established.

Source: CMS Form 2567, inspection 2019-11-13, tag G0942 · view on CMS
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Minor Participate In Care

The agency failed to ensure that the patient received home health aide service frequencies as indicated on the signed consent for 1 of 6 patients who received home health aide care services only, in a sample of 7 records reviewed.

Source: CMS Form 2567, inspection 2019-11-13, tag G0434 · view on CMS
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Minor Document Complaint And Resolution

The agency failed to ensure the complaint log binder was kept up to date and failed to ensure complaints were investigated and resolved for 1 of 1 agency.

Source: CMS Form 2567, inspection 2019-11-13, tag G0484 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the frequency and duration of visits were specific to the needs of the individual patient (#2, 3, and 7) in 3 of 7 records reviewed; and failed to ensure that goals were individualized and measurable for the patient's needs (#7) in 1 of 7 records reviewed.

Source: CMS Form 2567, inspection 2019-11-13, tag G0574 · view on CMS
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Minor Coordinate Care Delivery

The agency failed to ensure the coordination of medication delivery so that all medications ordered on the plan of care were made available to the patient for 1 of 7 records reviewed.

Source: CMS Form 2567, inspection 2019-11-13, tag G0608 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to ensure the patient had all medications ordered on the plan of care for 1 of 1 patient requiring skilled services in a sample of 7 records reviewed.

Source: CMS Form 2567, inspection 2019-11-13, tag G0710 · view on CMS
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