G0522: Eligibility For Medicare Home Health Benefit
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
- California32
- Michigan4
- Indiana2
- Kentucky2
- Ohio2
- Louisiana1
- Missouri1
- Nebraska1
- New Hampshire1
- New York1
- Puerto Rico1
- South Carolina1
Most recent citations
The 20 most recent of 49 citations. Newest inspection first.
Home Health la Monserrate Inc
The facility failed ensure the registered nurse must complete the comprehensive assessment, for 2 out of 7 records reviewed (R.R. #1, #2).
Phoenix Home Care and Hospice
The home health provider failed to ensure a registered nurse (RN) performed the initial assessment in one of five full records reviewed (Record/Patient #1) and failed to ensure the RN did the recertification comprehensive assessment in one of five full records reviewed (Record/Patient #3).
Caretenders
The agency failed to ensure that patient comprehensive assessments were completed by the appropriate skilled professional for 1 of 1 therapy patient records reviewed (Patient #4).
Brilliant Health Home Care Inc
The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for one of seven sample patients.
Avante Home Health Care, Inc
No longer in CMS listThe Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for three of seven sampled patients (Patients 1, Patient 2, and Patient 3).
Nelnar Home Health Care, Inc
The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for two of seven sampled patients (Patient 5 and Patient 6).
Unison Health Services, Inc
The home health agency failed to complete the comprehensive assessment (the required in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and caregiver that will be addressed by the home health agency's…
Supportive Home Health Care, LLC
The agency failed to ensure the comprehensive assessment to determine eligibility for the Medicare home health benefit was completed by the registered nurse in 1 (Patient #4) of 7 records reviewed, resulting in the potential for a patient who is ineligible for benefits to be admitted to home care…
Renaissance Home Health Care
The agency failed to ensure a registered nurse conducted comprehensive assessments for two of four patients’ medical records reviewed (Patient #1 and Patient #4).
Alaphia Care Home Health Services, Inc.
The agency failed to ensure a discharge assessment (a component of the comprehensive assessment completed to ensure the discharge process meets the needs of the patient) was completed by a registered nurse (RN) for one of 12 sampled patients (Patient 1).
Erg Home Health Providers, Inc
No longer in CMS listThe home health agency (HHA) failed to ensure the homebound status of two of nine sample patients (Patient 2 and Patient 3) were clearly identified in the comprehensive assessment.
Quality Care Home Health Specialists Inc
The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for four of seven sample patients.
American Nursing Home Health Care, Inc
The Skilled Nurse failed to determine eligibility for the Medicare home health benefit, including home bound status in 2 of 7 (MR#2, 3) records reviewed, resulting in patients receiving unqualified home health benefits as required by Medicare.
Amedisys Home Health of Clinton
The home health agency's Registered Nurse (RN) failed to perform the patient's the Start of Care (SOC) assessment when the patient's referral orders included orders for nursing interventions for 1 of 6 applicable patients.
Vip Home Health Care Agency
The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for four of seven sample patients (Patients 2, 3, 5, and 7).
American Nursing Home Health
The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for one of seven sample patients (Patient 4).
Divine Home Care of Ohio, LLC
The facility failed to have a registered nurse complete the comprehensive assessment for four of four patients reviewed (Patient #1, #2, #3 and #4).
Peace Home Health
The Home Health Agency (HHA) failed to assess the patient's eligibility for continuing need for skilled nursing services for one of seven sample patients, (Patient 1).
Era Home Health Services Corporation
The Home Health Agency (HHA) failed to assess the patient's eligibility for continuing need for skilled nursing services for one of seven sample patients.
Mother Theresa's Home Health Services
The Home Health Agency (HHA) failed to assess the patient's continuing need for skilled nursing services for one of seven sampled patients.