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G0540: The Patient'S Representative (If Any);

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

10times cited
10agencies
6states
2018-06-21 – 2026-05-15survey 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

Every citation of this tag in this dataset. Newest inspection first.

Aplus Health Care LLC

Inspection 2026-05-15

The agency failed to ensure the patient representative was included in the comprehensive assessment for 1 of 3 patients who received skilled services.

247 Allstaff West LLC

No longer in CMS list
Inspection 2025-05-14

The Home Health Agency (HHA) failed to ensure the Comprehensive Assessments reflected the patients' representative for 3 of 10 sampled patients (Patient 8, Patient 9, Patient 10).

Willcare Chha (Buffalo)

Inspection 2024-09-23

The agency failed to ensure the comprehensive assessment included information regarding the patient’s representative.

Trinity Home Health Care Inc

No longer in CMS list
Inspection 2021-08-06

The registered nurse failed to ensure the comprehensive assessment/re-assessment evidenced the patient's representative (if any) for 5 of 7 records reviewed which contained comprehensive assessments (#1, 4, 5, 6, 7).

Apple Tree Home Health Care Services, LLC

No longer in CMS list
Inspection 2020-11-20

The registered nurse (RN) failed to ensure the comprehensive assessment reflected the patient's representative for 3 of 3 records reviewed with needed representatives (#1, 4, 9), in a total sample of 10. Findings include: 1. An undated agency policy titled "Comprehensive client assessment," Policy#…

Tiffco CARE2 LLC

No longer in CMS list
Inspection 2020-11-17

The agency failed to ensure the assessment included information concerning a patient selected representative in 4 of 5 (Patients #1, 2, 3, 4, 5) active records reviewed and 1 of 2 (Patient #6) closed records reviewed in a sample of 7. Findings included: 1. A review of undated policy C120A, titled…

Reliable Home Health Patient Care Co

Inspection 2019-06-28

The agency failed to document the patient's representative (if any) in the comprehensive assessment in 1 (MR#4) from a total of 7 sampled records reviewed, resulting in lack of contact information to communicate the needs of the patient if needed.

24 Seven Home Health Care Services, Inc.

No longer in CMS list
Inspection 2019-04-19

The agency failed to document the patient's representative (if any) in the comprehensive assessment in 1 (MR#7) from a total of 7 sampled records reviewed, resulting in lack of contact information to communicate the needs of the patient if needed.

Caring Choice Network

Inspection 2019-02-14

The agency failed to document the patient's representative (if any) in the comprehensive assessment in 3 of 8 records reviewed (MR#s 1, 2, and 3) of a total sample of 8 records reviewed, resulting in lack of contact information to communicate the needs of the patient if needed.

Accentcare Home Health of Rogue Valley, LLC

Inspection 2018-06-21

The agency failed to ensure the comprehensive assessment for 17 of 17 sampled "active" patients identified the patient's representative, as required, (Patients 1-17).

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