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Pasco/SW Home Health

(970) 565-68332208 E Main St, Cortez, CO 81321
CMS Certification Number 067339 · Proprietary · Medicare-certified since 07/27/2001
12deficiencies since 2018
2serious
3inspections
4CMS 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 2024-04-25

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

Inspection 2021-05-13

· Focused Infection Control, Other-Fed, Recertification · 1 deficiencies · CMS source report (PDF)
Minor Interventions And Patient Response

The agency failed to ensure all medications, interventions, treatments and services provided to patients were accurately documented and included within the clinical record for 1 of 4 patients receiving skilled nursing (SN) services (Patient #5), and 2 of 2 patients receiving certified nurse aide…

Source: CMS Form 2567, inspection 2021-05-13, tag G1014 · view on CMS
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Inspection 2018-08-16

· Recertification · 11 deficiencies · CMS source report (PDF)
Serious Care Planning, Coordination, Quality Of Care

G572 - Standard: Conformance with physician orders - The agency failed to ensure the clinicians provided care and services as ordered by the physician G574 - Standard: failed to ensure each patient's Plan of Care covered all pertinent diagnoses, allergies, treatments, patient-specific interventions…

Source: CMS Form 2567, inspection 2018-08-16, tag G0570 · view on CMS
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Serious Clinical Records

G1024 - Standard: Authentication - The agency failed to ensure clinical record entries contained clear, complete and appropriately authenticated, dated, and timed records.

Source: CMS Form 2567, inspection 2018-08-16, tag G1008 · view on CMS
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Moderate Plan Of Care

The clinical staff routinely failed to ensure care followed a written plan of care which had been established and periodically reviewed by a physician.

Source: CMS Form 2567, inspection 2018-08-16, tag G0572 · view on CMS
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Moderate Authentication

The agency failed to ensure clinical record entries contained clear, complete and appropriately authenticated, dated, and timed records.

Source: CMS Form 2567, inspection 2018-08-16, tag G1024 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure all patient medications were reviewed and reconciled for potential interactions, significant side effects, duplications, discrepancies, noncompliance, ineffective therapy or adverse effects for 2 of 10 patient records reviewed (Patients #5 and #8).

Source: CMS Form 2567, inspection 2018-08-16, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure each patient's Plan of Care covered all pertinent diagnoses, allergies, treatments, patient-specific interventions and measurable outcomes and goals identified by the home health agency (HHA) and the patient for 4 of 10 patient records reviewed (Patients #1, #5, #7 and…

Source: CMS Form 2567, inspection 2018-08-16, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure drugs, services and treatments were administered as ordered by a physician in 5 of 10 patient records reviewed (Patients #1, #2, #3, #8 and #9).

Source: CMS Form 2567, inspection 2018-08-16, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to ensure professional staff promptly alerted the physician of symptoms, concerns and conditions that suggested a need to alter the Plan of Care for 2 of 10 patients reviewed (Patients #1, and #8).

Source: CMS Form 2567, inspection 2018-08-16, tag G0590 · view on CMS
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Minor Integrate All Services

The agency failed to ensure patient care needs, safety and treatment effectiveness was coordinated by all disciplines.

Source: CMS Form 2567, inspection 2018-08-16, tag G0606 · view on CMS
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Minor Responsible For All Day-To-Day Operations

The Administrator failed to organize and direct the agency's ongoing functions and failed to effectively liaise with the governing body, which created a systemic lack of direction, organization and quality oversight.

Source: CMS Form 2567, inspection 2018-08-16, tag G0948 · view on CMS
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Minor Ensure That Hha Employs Qualified Personnel

The agency failed to ensure they employed a nurse with an active Colorado State RN license.

Source: CMS Form 2567, inspection 2018-08-16, tag G0952 · view on CMS
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