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G0454: Hha Can No Longer Meet The Patient'S Needs

CMS level: Element Minor. On this site, a condition-level citation is labeled Serious, a standard-level citation Moderate, and an element-level citation Minor. What the labels mean · How to choose an agency

117times cited
112agencies
27states
2018-02-12 – 2026-07-28survey dates

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. CMS source file. What the labels mean

Where it was cited

Most recent citations

The 20 most recent of 117 citations. Newest inspection first.

1ST Gentlecare Home Health LLC

Inspection 2026-07-28

The agency failed to transfer or discharge the patient when the home health agency could no longer meet the patient’s needs in 1 of 2 (Pt #1) patient medical records reviewed in that the agency discontinued aide services because they could no longer provide the service.

Home of My Own Home Health LLC

No longer in CMS list
Inspection 2026-07-02

The agency failed to ensure they transferred a patient when they could no longer meet the patient's needs for 1 of 1 active clinical records reviewed with patients requesting more care (Patient #7).

Pegasus Home Health Care, Inc.

Inspection 2026-05-13

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure a safe and appropriate discharge process for two of 17 sampled patients (Patient 6 and Patient 17) by failing to: a.

Alliant Home Health LLC

Inspection 2026-05-12

The agency failed to arrange a safe and appropriate transfer for 1 of 2 sample discharged patients (Patient #3).

Assured Home Health of Ponca City

Inspection 2026-03-19

The agency failed to ensure an advance beneficiary notice was provided to one (Patient #11) of 11 patients.

Agb Home Health, Inc.

Inspection 2025-10-09

The Home Health Agency (HHA) failed to ensure one of seven sampled patients (Patient 1) discharged from home health services was conducted safely and appropriately to facilitate continuity of care for the patient certified to receive home health benefits.

Sunshine Home Care, Inc

Inspection 2025-07-23

The agency failed to ensure notification to the physician prior to discharge for two (Patients #7 and #9) of nine patients.

Angels Care Home Health of Oklahoma

Inspection 2025-07-03

The agency failed to ensure notification to the physician prior to discharge for three (Patients #17 and #18) of 20 patients.

Northeastern Health System Sequoyah

Inspection 2025-06-26

The agency failed to ensure: 1. Attempted resolution of non-compliance and refusal of care for two (Patients #6 and #8) of nine patients.

Hilltop Healthcare, LLC

Inspection 2025-06-18

The agency failed to ensure: 1. Notification to the physician the agency could no longer meet the patient’s needs prior to discharge for five (Patients #3, 4, 5, 6 and #7) of seven patients.

Companion Home Health, LLC

Inspection 2025-06-04

The agency failed to ensure: 1. Physician notification the agency could no longer meet the patient needs prior to discharge for three (Patients #9, 10 and #11) of 11 patients.

Universal Healthcare

Inspection 2025-05-23

The agency failed to: 1. Notify the physician the agency could no longer meet the patient’s need for nursing visits twice daily for one (Patient #11) of 12 patients.

Guardian Angels Home Health Care, Inc

Inspection 2025-01-14

The agency failed to make a safe and appropriate discharge for 1 of 3 closed record reviews.

Accentcare Fairview Home Health - East LLC

Inspection 2024-10-24

The agency failed to notify the patient, her representative and other physicians involved with the patient's care the agency was considering a discharge for 1 of 5 patients (P1) who was discharged from the agency.

Phoenix Home Care and Hospice

Inspection 2024-10-02

The home health provider failed to inform the patient that a transfer may only occur if the transfer or discharge is necessary for the patient's welfare because the provider and the physician or allowed practitioner, who is responsible for the home health plan of care agree that the provider can no…

Adoration Home Health

Inspection 2024-09-05

The agency's skilled professional staff failed to provide services as ordered by the physician in the plan of care for one patient (P) (P1), Specifically, the skilled nurse (SN) failed to provide wound care for P1. Findings include: The clinical record for P1 revealed that SN was required to visit…

Pediatric Nursing Specialists of Indiana

Inspection 2024-06-12

The agency failed to contact and facilitate the safe transfer of their patient to the alternate entity that would be responsible for providing ongoing care for 1 of 1 transfer discharged inactive records reviewed.

Mother's Care Home Health Services, Inc

Inspection 2024-06-07

The agency failed to ensure it facilitated a transfer or appropriate follow-up for speech therapy that could meet a patient's needs for 1 of 7 sampled patients (Patient 7).

Anchor Home Health Care

Inspection 2024-05-01

The agency failed to evidence the physician was consulted for the purpose of discharge prior discharge for 1 of 4 discharge records reviewed (Patient #11) The record for Patient #11 reviewed on 4/25/24 included a Plan of Care dated 1/27/24 – 3/26/2024 which indicated Skilled Nursing orders 1 to 2…

Yadkin Valley Home Health

Inspection 2024-04-23

The agency failed to assist the patient to find provider to meet needs when the patient was identified as needing a higher level or care for 1 of 1 patient discharged due to needing a higher level of care [#4]. The findings included: The policy, Discharge Criteria and Process [10/7/22] was provided…

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