G0612: Written Instructions To Patient Include:
CMS level: Standard Moderate. 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 2026-10-20; CMS agency list file dated 2026-05-27. CMS source file. What the labels mean
Where it was cited
- California66
- Indiana35
- Arkansas28
- Virginia8
- Texas7
- Nevada4
- Missouri3
- Pennsylvania3
- Florida2
- Michigan2
- Minnesota2
- New Jersey2
- New York2
- District of Columbia1
- Georgia1
- Iowa1
- Montana1
- Ohio1
- Oklahoma1
- Oregon1
- Rhode Island1
- Utah1
Most recent citations
The 20 most recent of 173 citations. Newest inspection first.
Larris-Ify Home Care
The agency failed to provide current written medication instructions for 1 of 1 skilled home visit observation with a nurse; and failed to provide a current written home exercise program for 1 of 1 skilled home visit observation with a physical therapist (PT).
USA Home Health, Inc
Failed to provide a copy of the plan of care (POC - a document that serves as a comprehensive, physician-signed plan detailing the necessary skilled home health services for patients, that includes diagnoses, orders, medications, treatments, and goals), to three of 7 sampled patients (Patient 2…
Blue Horizon Pk, Inc.
The Home Health Agency (HHA‑ an organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to provide copies of their individualized plan of care (a personalized document that outlines a patient's health conditions, specific goals, and the medical or…
Royale Home Health Care, Inc
An organization that delivers skilled nursing [a specialized level of medical care provided to patients who require assistance with daily activities and medical treatments] and other therapeutic service to a patient at home) failed to ensure a copy of the current plan of care (POC- a document that…
Gmm Home Health Care, Inc
The Home Health Agency (HHA) failed to provide the written information regarding the plan of care POC) and medication list for two of seven patients (Patient 2 and Patient 5).
Mlh Healthcare, Inc
The Home Health Agency (HHA‑ an organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure that three of eight sampled patients (Patient 2, 4, and 7) were provided copies of their individualized plan of care (a personalized document that…
Verdugo Hills Home Care, Inc
The Home Health Agency (HHA) failed to provide written instructions to patients and caregivers regarding the patients' plans of care (POC) for four of ten sampled patients (Patient 1, Patient 2, Patient 6 and Patient 7).
Select Home Health Services, Inc
The agency failed to ensure that a copy of the home health aide (HHA) plan of care instructions was provided and accessible to the patient for 1 of 1 HHA home visit observation.
Desert Home Health Services, Inc
The facility failed to ensure the patients and/or their caregivers were provided written instructions outlining the visit schedules and patient medication schedule/instructions, for five of seven patients reviewed during the home visits (Patients 4, 5, 10, 11, and 12).
Scroggins Nursing and Home Services
No longer in CMS listThe agency failed to provide the patient and caregiver with a copy of the plan of care that included wound care orders for 1 of 2 home visits completed.
Purposecare of Indiana
The agency failed to provide the patient or caregiver with written instructions regarding the home health services to be provided and the plan of care for 2 of 2 patients (Patients: #1 and 3) during home visits conducted, receiving ongoing continued care.
Brio Home Health Services, Inc
The agency failed to ensure essential clinical documents were provided for two of 10 sampled patients (Patient 1 and 2), when Patient 1 and 2’s home clinical record booklet did not contain their current plan of care (POC- a guide that lists their medical and emotional needs, including treatments…
Compassionate Care Home Health Agency, LLC
The home health agency (HHA) failed to provide a copy of the CMS 485 (standardized document used by the Centers for Medicare & Medicaid Services (CMS) for the Home Health Certification and Plan of Care containing written instructions for visit schedules, medications, treatments to be administered…
Attain Health Home Health, Inc.
The Home Health Agency (HHA) failed to provide written information regarding the plan of care and medication list for two of seven patients (Patient 4 and Patient 5).
River Valley Home Health
The agency failed to ensure written information related to the patient’s Plan of Care (POC- an individual plan that identifies patient’s specific goals and signed by a doctor) was provided and available in the home for two of three sampled patients reviewed for written patient care instructions…
Carepro Home Healthcare Services
The facility failed to ensure written instructions were in the homes for 2 of 3 patients (Patient (P)2 and P3) who were selected for a joint visit with a clinician.
Blue Sky Home Health Care, Inc
The Home Health Agency (HHA – an organization that delivers skilled nursing and other therapeutic services to patients' personal residence) failed to ensure written information regarding the patient’s care was provided for two of thirteen sampled patients (Patient 3 and Patient 8).
Visiting Nurse Association of the Wabash Valley in
The agency failed to provide the patient with a copy of the aide POC in the home for 1 of 1 non-skilled patient home visits.
K & K Home Health Care, Inc
The HHA failed to ensure written information regarding the patient’s care was present for one of thirteen sampled patients (Patient 13).
Optima Care Home Health Services Inc
The agency failed to ensure essential clinical documents were provided for two of ten sampled patients (Patient 1 and 2), when their home clinical record binders did not contain their current plan of care (POC- a guide that lists their medical and emotional needs, including treatments, medications…