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Aveanna Healthcare

(260) 969-0100111 East Ludwig Rd Ste 109, Fort Wayne, IN 46825
CMS Certification Number 157644 · Proprietary · Medicare-certified since 06/18/2012
27deficiencies since 2018
3serious
3inspections
n/aCMS quality stars
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. What the labels mean

Inspection 2025-12-18

· Complaint · no deficiencies cited · CMS source report (PDF)

Inspection 2024-04-17

· Complaint · 25 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The home health agency failed to ensure the emergency preparedness plan was reviewed and updated at least every 2 years (see tag E0004); address the patient population, including the type of services the home health agency can provide in an emergency (see tag E0007); ensure the emergency…

Source: CMS Form 2567, inspection 2024-04-17, tag E0001 · view on CMS
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Serious Condition Of Participation: Patient Rights.

The agency failed to ensure the home health aide (HHA) reported changes in skin condition to the registered nurse (RN), and the RN failed to complete a comprehensive assessment that reflected patient's current skin condition (G430); Based on record review and interview, the agency failed to ensure…

Source: CMS Form 2567, inspection 2024-04-17, tag G0406 · view on CMS
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Serious Home Health Aide Services

The home health agency failed to ensure the aide competency evaluation was demonstrated on a patient or pseudo - patient (G768); failed to ensure the aide provided services on the plan of care (G800); failed to ensure the aides reported changes in patient condition (G804); failed to ensure…

Source: CMS Form 2567, inspection 2024-04-17, tag G0750 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

The agency failed to ensure the Emergency Plan was reviewed and updated (if needed) every two years for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0004 · view on CMS
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Moderate Ep Program Patient Population

The agency failed to ensure the Emergency Plan addressed the patient population and services the agency could provide in an emergency for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0007 · view on CMS
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Moderate Development Of Communication Plan

The agency failed to ensure the Emergency Preparedness Communication Plan was reviewed and updated every two years for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0029 · view on CMS
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Moderate Names And Contact Information

The agency failed to ensure the Emergency Preparedness Communication Plan included updated employee contact information and failed to identify patient physician names or contact information for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0030 · view on CMS
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Moderate Information On Occupancy/Needs

The agency failed to ensure the Emergency Preparedness Communication Plan included a process for communicating the agency's capacity, needs, and ability to aid to the identified community officials for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0034 · view on CMS
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Moderate Ep Training And Testing

The agency failed to maintain an emergency preparedness training and testing program that is based on the emergency plan, risk assessment, policies and procedures, and the communication plan and be reviewed and updated at least every 2 years for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0036 · view on CMS
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Moderate Ep Testing Requirements

The agency failed to test their emergency plan activation once every two years for 1 of 1 agency.

Source: CMS Form 2567, inspection 2024-04-17, tag E0039 · view on CMS
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Moderate Update Of The Comprehensive Assessment

The agency failed to ensure the comprehensive assessment was updated according to changes in the patient's condition for 1 of 1 active record reviewed with wounds (Patient #1).

Source: CMS Form 2567, inspection 2024-04-17, tag G0544 · view on CMS
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Moderate Plan Of Care

The home health agency failed to ensure the physician was notified of missed visits for 1 of 2 active records reviewed of patients receiving only skilled nurse services (Patient #2).

Source: CMS Form 2567, inspection 2024-04-17, tag G0572 · view on CMS
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Moderate Competency Evaluation

The agency failed to ensure home health aide competencies included all subject areas with the use of a patient or pseudo patient for 3 of 3 home health aide (HHA) personnel record reviews.

Source: CMS Form 2567, inspection 2024-04-17, tag G0768 · view on CMS
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Moderate Administrator

The governing body failed to appoint an administrator with one year administrative experience in home health care or related health care experience for 1 of 1 home health agencies.

Source: CMS Form 2567, inspection 2024-04-17, tag G1052 · view on CMS
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Minor Be Free From Abuse

The agency failed to ensure the home health aide (HHA) reported changes in skin condition to the registered nurse (RN), and the RN failed to complete a comprehensive assessment that reflected patients current skin condition for 1 active record reviewed that resulted in untreated alteration in skin…

Source: CMS Form 2567, inspection 2024-04-17, tag G0430 · view on CMS
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Minor Participate In Care

The agency failed to ensure all patients were provided with consistent communication regarding staffing of home health aide (HHA) visits for 1 of 1 active record reviewed with a home visit made (Patient #1).

Source: CMS Form 2567, inspection 2024-04-17, tag G0434 · view on CMS
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Minor Receive All Services In Plan Of Care

The agency failed to ensure all patients received home health aide (HHA) services as ordered in the plan of care (POC) for 1 of 1 active record reviewed with a home visit made (Patient #1) and for 1 of 2 closed records reviewed (Patient #6).

Source: CMS Form 2567, inspection 2024-04-17, tag G0436 · view on CMS
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Minor Investigate Complaints Made By Patient

The agency failed to investigate a complaint regarding concerns in the areas of care, professionalism, and property loss/damage, for 1 of 1 complaints of misappropriation of patient property, failure to provide aide services, and unprofessional employee behavior.

Source: CMS Form 2567, inspection 2024-04-17, tag G0478 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The agency failed to ensure that all patients received a complete and accurate comprehensive assessment which included the patient’s current health status for 1 of 1 active record reviewed with wounds (Patient #1), and for 1 of 1 discharged record reviewed with wounds (Patient #7).

Source: CMS Form 2567, inspection 2024-04-17, tag G0528 · view on CMS
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Minor Revised Plan Of Care

The agency failed to ensure revised plans of care (POC) were supported by the recertification comprehensive assessment for 1 of 2 active records reviewed with skilled nurse (SN) services only (Patient #2) and for 1 of 2 discharged records reviewed (Patient #7).

Source: CMS Form 2567, inspection 2024-04-17, tag G0592 · view on CMS
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Minor Coordinate Care Delivery

The agency failed to ensure that the patient’s clinical records included information about the services the patient received from other health providers and failed to ensure they coordinated care delivery to meet the patient’s needs for 2 of 2 patients receiving wound care reviewed.

Source: CMS Form 2567, inspection 2024-04-17, tag G0608 · view on CMS
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Minor Nursing Services Supervised By Rn

The agency failed to ensure the licensed practical nurse (LPN) was supervised by a registered nurse (RN) for 1 of 1 patients who received services from an LPN.

Source: CMS Form 2567, inspection 2024-04-17, tag G0726 · view on CMS
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Minor Services Provided By Hh Aide

The agency failed to ensure the home health aides (HHA) provided services that were included in the HHA plan of care (POC) for 2 of 3 active records reviewed of patients receiving HHA services only (Patient #1, 4).

Source: CMS Form 2567, inspection 2024-04-17, tag G0800 · view on CMS
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Minor Aides Are Members Of Interdisciplinary Team

The home health agency failed to ensure the home health aide (HHA) reported changes in the patient’s condition to the registered nurse (RN) for 1 of 1 active record reviewed of patients with wounds (Patient #1) and for 1 of 2 discharged patients with wounds (Patient #7).

Source: CMS Form 2567, inspection 2024-04-17, tag G0804 · view on CMS
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Minor Non-Skilled Direct Observation Every 60 Days

The agency failed to ensure a registered nurse (RN) made an on-site visit to supervise the HHAs (Home Health Aide) at least every 60 days for 1 of 3 active records reviewed of patients receiving non-skilled nursing services (Patient # 1) and in 1 of 2 discharged records reviewed of patients…

Source: CMS Form 2567, inspection 2024-04-17, tag G0814 · view on CMS
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Inspection 2020-02-19

· Complaint · 2 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure skilled nursing provided services as ordered on the plan of care for 1 of 3 records reviewed of ventilated patients.

Source: CMS Form 2567, inspection 2020-02-19, tag G0572 · view on CMS
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Minor Ensure That Hha Employs Qualified Personnel

The Administrator failed to ensure a Registered nurse's license was not suspended while continuing to care for a ventilated pediatric patient in 1 of 3 records reviewed.

Source: CMS Form 2567, inspection 2020-02-19, tag G0952 · view on CMS
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