G0656: Improvements Are Sustained
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
- Indiana24
- Oklahoma19
- California7
- Michigan7
- Virginia7
- Iowa5
- Massachusetts4
- Missouri4
- Nevada4
- Pennsylvania4
- Wisconsin4
- Florida3
- Minnesota3
- Montana2
- Puerto Rico2
- Rhode Island2
- Arizona1
- Connecticut1
- Illinois1
- Louisiana1
- Nebraska1
- New Hampshire1
- Oregon1
- Washington1
Most recent citations
The 20 most recent of 109 citations. Newest inspection first.
Assured Home Health
The Home Health Agency (HHA) failed to follow its Quality Assessment and Performance Improvement (QAPI) policy and procedure (P&P) when the HHA did not maintain documentation showing that it implemented the performance improvement actions it identified.
American Nursing Home Health Care, Inc
The agency failed to ensure its Quality Assessment Performance Improvement (QAPI) program performed actions to measure the effectiveness of a chosen PIP (performance improvement project), developed to track improvements and a process to ensure improvements are sustained.
Absolute Home Health LLC
The Home Health Agency failed to measure its success and track performance to ensure that improvements are sustained.
Aplus Health Care LLC
The agency failed to implement, measure and track performance improvement activities.
Tlc Home Care of the Twin Cities
The facility failed to perform actions aimed at performance improvement and tracking performance following those actions.
Extracare Home Health Services
The agency failed to develop a Quality Assessment Performance Improvement (QAPI) program that instituted actions for the purpose of collecting performance improvement data and failed to implement a process to re-evaluate subsequent data to determine if intended improvements are sustained.
Always a Step Beyond
The agency failed to develop a Quality Assessment and Performance Improvement (QAPI) program that contained performance improvement activities focused on high risk, high volume, or problem-prone areas for one (1) of one (1) QAPI requested.
Homestead Health LLC
The agency failed to implement, measure and track performance improvement activities to ensure improvements were sustained.
Caregivers, Inc
The agency failed to measure and track performance improvement projects to determine if improvement occurred and was sustained from data derived from untimely OASIS assessments, and failed to implement a process improvement plan for the frequency and detail of data collection for 1 of 1 agency.
Jethro Health System, LLC
The Home Health Agency failed to ensure that performance is tracked and that improvement is sustained.
Unity Home Health Providers, Inc
Or to maintain health and independence) QAPI (Quality Assessment and Performance Improvement) program failed to address patient’s concern with wound care and assessment.
Dependable Healthcare Services LLC
This Element is NOT MET as evidenced by: Based on record review and staff interview, it has been determined that the Agency failed to take actions aimed at performance improvement and failed to implement those actions and therefore, were unable to provide evidence related to the measuring and…
Care in Action Home Healthcare Agency LLC
The home health agency (HHA) failed to utilize quality indicator data, including measures derived from OASIS, where applicable, and other relevant data, in the design of its program and failed to collect data to monitor the effectiveness and safety of services and quality of care, identify…
Adept Home Health Services, Inc
The facility failed to ensure its Quality Assurance Performance Improvement (QAPI - a data-driven, systematic approach to improving safety and quality in healthcare settings) committee gathered information regarding the agency’s performance in conducting Licensed Vocational Nurse (LVN) joint…
Mountain Crest Home Health
The home health agency (HHA) failed to take actions aimed at performance improvement and, after implementing those actions, objectively measure the success and track performance to ensure improvements were sustained.
Mashovin Home Health Care, Inc
The agency failed to maintain a patient centered QAPI Program which measured and tracked agency performance strategies to ensure improvements were sustained for all five patients and 15 employees.
Personal Touch, Inc
The agency failed to document performance improvement within the QAPI Program for all patients and staff.
Homunity Health Services
The agency failed to ensure its Quality Assessment Performance Improvement Plan (QAPI) ensured sustained improvements.
Home Health la Monserrate Inc
The facility failed to have a mechanism in place to ensure that actions aimed at performance improvement, are implemented and that those actions, are measured its success to ensure that improvements are sustained.
Access Care Home Health Agency Inc
No longer in CMS listThe agency failed to ensure it took actions aimed at performance improvement, implemented those actions, measured its success and tracked performance to ensure improvements were sustained.