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Pike County Health Department

(217) 285-4407606 W Adams Street, Pittsfield, IL 62363
CMS Certification Number 147065 · Government Operated · Medicare-certified since 07/01/1966
6deficiencies since 2018
0serious
3inspections
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 2024-02-23

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Develop Ep Plan, Review And Update Annually

The facility failed to review and update the Emergency Plan for the Agency at least every two years.

Source: CMS Form 2567, inspection 2024-02-23, tag E0004 · view on CMS
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Moderate Plan Of Care

For 1 of 2 (Pt. #3) patients with Aide services, the Agency failed to ensure visits were conducted in accordance with the physician's ordered plan of care.

Source: CMS Form 2567, inspection 2024-02-23, tag G0572 · view on CMS
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Moderate Home Health Aide Assignments And Duties

For 1 of 2 (Pt #3) patients receiving home health aide services, the Agency failed to ensure the the Aide completed care and services as ordered on the plan of care Findings include: 1. Pt #3 Start of Care: 01/27/24 Diagnosis: Idiopathic Aseptic Necrosis of Left Femur.

Source: CMS Form 2567, inspection 2024-02-23, tag G0798 · view on CMS
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Moderate Authentication

In 3 of 7 (Pt #1, Pt #3 and Pt #6), patient records reviewed, the Agency failed to ensure documentation was appropriately authenticated within the required timeframe.

Source: CMS Form 2567, inspection 2024-02-23, tag G1024 · view on CMS
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Inspection 2021-01-28

· Focused Infection Control, Other-Fed, Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2018-01-18

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

For 2 of 3 (Pts #2 and #3) patients observed during home visits, the Agency failed to ensure infection control measures were observed to prevent the potential for cross-contamination, as per Agency policy.

Source: CMS Form 2567, inspection 2018-01-18, tag G0682 · view on CMS
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Minor Verbal Orders

For 1 of 7 (Pt #5) patients, the Agency failed to ensure physician orders were authenticated and signed within 30 days, in accordance with its policy.

Source: CMS Form 2567, inspection 2018-01-18, tag G0584 · view on CMS
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