G0460: Patient Refuses Services
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
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
- Missouri15
- Oklahoma13
- Indiana10
- California8
- Florida7
- Kansas2
- Tennessee2
- Connecticut1
- Iowa1
- Louisiana1
- Michigan1
- Minnesota1
- Montana1
- New Mexico1
- New York1
- Ohio1
- Pennsylvania1
- Rhode Island1
Most recent citations
The 20 most recent of 68 citations. Newest inspection first.
Naples Home Health Care, Inc
The Home Health Agency (HHA) failed to ensure 1, (Patient #1), of three discharged patients sampled received education on the risk of a potential adverse outcomes for refusing services.
Lasik Home Health Care Inc
The agency failed to ensure patients who requested discharge from services were educated on risks and potential outcomes with an in-person discharge visit in 1 of 2 clinical record reviews of discharged patients.
University of Tn Medical Center Home Care Services
The agency failed to provide speech therapy (ST) evaluation ordered by physician for 1 patient (#14) of 17 patients reviewed.
Agb Home Health, Inc.
The Home Health Agency (HHA) failed to ensure one of seven sampled patients (Patient 7) has the right to refuse services and be discharged from home health services as requested.
Professional Hhs of Southwest Louisiana
The home health agency failed to provide evidence of the measures taken to investigate why the patient was refusing to keep wound care clinic appointments; in an attempt to provide interventions for patient to be compliant with plan of care (POC) prior to discharge from the agency for 1 (Patient…
Abiding Home Health of Oklahoma City
The agency failed to: 1. Educate the patient on potential health outcomes related to refusal of and/or missed visits prior to the patient’s discharge from HHA services for noncompliance and; 2. Notify the physician of the patient's continued refusal of and/or missed visits prior to the patient’s…
American Home Health Services Inc
The agency failed to evidence they educated patients, who declined services and requested to discharged form home health services, on the risks and potential adverse outcomes that may result from the discontinuation of services in 1 of 1 closed clinical record reviewed with a discharge per patient…
Methodist Home Care Services
The agency failed to evidence they educated patients, who declined services and requested to be discharged from home health services, on the risks and potential adverse outcomes that may result from discontinuation of services in 2 of 5 closed clinical records reviewed (Patients # 9, 12).
Paradise Home Health Group, Inc.
No longer in CMS listThe home health agency (HHA) failed to ensure one of seven patient’s (Patient 1) was provided notification of their discharge from home health services.
Mederi Caretenders
Agency failed to document the refusal of services and education provided to the patient with communication to the physician for 1 (#6) patient out of 7 home care visits conducted.
Elara Caring
The home care agency failed to ensure that refusals of care are investigated, and the patient is educated when services are refused, or the patient elects to be discharged from services for 1 of 1 discharge record reviewed, Patient ID #3. Findings are as follows: Review of the record revealed the…
Hand in Heart Home Health Inc
The home health agency (HHA) failed to ensure communication with the physician was documented in the clinical records for three of nine patients (Patients 5, 7 & 8) when: One patient (Patient 5) refused occupational therapy services (OT).
Ability Home Health LLC
The home health agency failed to document measures it took to investigate a patient’s noncompliance with physical therapy (PT) visits, interventions the agency attempted in order to obtain patient participation with the PT visits, and communication with the patient’s physician prior to discharge…
Carefocus Corporation
The agency failed to ensure provider notification of refusal of home care services was completed and documented before discharging 1 of 1 patient (P7) reviewed for refusal of services.
Elara Caring Xx
The agency failed to: 1. Educate the patient on potential health outcomes related to refusal of and/or missed visits prior to the patient’s discharge from HHA services for noncompliance and; 2. Notify the physician of the patient's continued refusal of and/or missed visits prior to the patient’s…
Gentle Shepherd Home Health, Incorporated
The agency failed to: 1. Educate the patient on potential health outcomes related to refusal of and/or missed SN visits prior to the patient’s discharge from HHA services for noncompliance and; 2. Notify the physician of the patient's continued refusal of and/or missed SN visits prior to the…
Allied Home Health Services, Inc.
The agency failed to ensure: 1. The patient was educated on potential health outcomes related to refusal of SN visits and; 2. Notify the physician of the patient's imminent discharge from agency services for continued refusal of SN visits for one (Patient #15) of 20 patients.
Angels Care Home Health X
The agency failed to ensure the patient was educated on potential health outcomes related to refusal of SN visits prior to discharge from agency services for one (Patient #6) of eight patients.
Carter Healthcare of Northeast Oklahoma, LLC
The agency failed to: 1. Educate the patient on potential health outcomes related to refusal of PT and ST visits; and 2. Notify the physician of the patient's imminent discharge from agency services for continued refusal of PT and OT visits for one (Patient #15) of 17 patients.
Amedisys Home Health Care (Amherst)
The agency failed for one (1) of one (1) patient refusing services (Patient #1) to educate the patient/caregiver on the risks and potential outcomes of refusing services, failed to notify the physician in a timely manner about refusal of services, and failed to document the measures and…