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Caregivers Home Health Services, Inc

(703) 532-62108500 Leesburg Pike, Suite 500, Tysons, VA 22182
CMS Certification Number 497559 · Proprietary · Medicare-certified since 11/08/1999
5deficiencies since 2018
0serious
1inspections
3CMS 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 2019-12-03

· Complaint · 5 deficiencies · CMS source report (PDF)
Minor Contact Info Federal/State-Funded Entities

The agency failed to provide the names, addresses, and telephone numbers of the Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource Center; and the Quality Improvement Organization where the patient resides.

Source: CMS Form 2567, inspection 2019-12-03, tag G0446 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the patient's individualized plan of care included patient stated goals for six (6) of six (6) patients in the survey sample (patients 1-6).

Source: CMS Form 2567, inspection 2019-12-03, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency staff failed to follow physicians orders for wound care on one (1) of one (1) patient in the survey sample receiving wound care (patient #4).

Source: CMS Form 2567, inspection 2019-12-03, tag G0580 · view on CMS
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Minor Administrator Appointed By Governing Body

The agency failed to ensure the Administrator was appointed by and reported to the governing body.

Source: CMS Form 2567, inspection 2019-12-03, tag G0946 · view on CMS
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Minor Ensures Qualified Pre-Designated Person

The Governing Body failed to ensure a qualified, pre-designated person was authorized in writing by the administrator and the governing body to assume the same responsibilities and obligations as the administrator.

Source: CMS Form 2567, inspection 2019-12-03, tag G0954 · view on CMS
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