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Cass County Home Health Agency

(217) 452-3057331 South Main Street, Virginia, IL 62691
CMS Certification Number 147221 · Government Operated · Medicare-certified since 03/01/1983
9deficiencies since 2018
0serious
2inspections
2.5CMS 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 2024-12-05

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

Inspection 2021-12-03

· Recertification · 9 deficiencies · CMS source report (PDF)
Moderate Conformance With Physician Orders

In 2 of 10 (Pt#5 and Pt #9) patients records reviewed, the Agency failed to ensure staff provided care as indicated on the physician orders.

Source: CMS Form 2567, inspection 2021-12-03, tag G0578 · view on CMS
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Minor Written Notice Within 4 Business Days

In 10 of 10 (Pt #1, Pt #2, Pt #3, Pt #4, Pt #5, Pt #6, Pt #7, Pt #8, Pt #9, Pt #10) patients records reviewed, the Agency failed to ensure the transfer and discharge policies were provided to the patient and/or patient's caregiver.

Source: CMS Form 2567, inspection 2021-12-03, tag G0422 · view on CMS
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Minor Participate In Care

For 1 of 1 (Pt #1) home visits conducted for wound care, the Agency failed to obtain consent for photography.

Source: CMS Form 2567, inspection 2021-12-03, tag G0434 · view on CMS
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Minor Payment From Federally Funded Programs

For 4 of 4 (Pt #1, Pt #2) patients records reviewed, the Agency failed to ensure the patient and/or patients caregiver was advised in writing the extent of payment from Medicare or covered charges for services.

Source: CMS Form 2567, inspection 2021-12-03, tag G0440 · view on CMS
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Minor Written Notice For Non-Covered Care

For 2 of 10 (Pt #2, Pt #8) patients records reviewed, the Agency failed to ensure the patient and/or patients caregiver received written notice of services provided.

Source: CMS Form 2567, inspection 2021-12-03, tag G0442 · view on CMS
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Minor Visit Schedule

For 3 of 3 (Pt #1, Pt #2, Pt #4) home visits conducted, the Agency failed to provide a written copy of the visit schedule and frequency of visits.

Source: CMS Form 2567, inspection 2021-12-03, tag G0614 · view on CMS
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Minor Patient Medication Schedule/Instructions

For 3 of 4 (Pt #1, Pt #2, Pt #4) home visits conducted, the Agency failed to complete and update the Medication Logs in the home.

Source: CMS Form 2567, inspection 2021-12-03, tag G0616 · view on CMS
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Minor Treatments And Therapy Services

For 3 of 4 (Pt #1, Pt #2, Pt #4) home visits conducted, the Agency failed to provide the patient and/or patient's caregiver a written copy of the treatments to be administered by the Agency personnel.

Source: CMS Form 2567, inspection 2021-12-03, tag G0618 · view on CMS
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Minor Other Pertinent Instructions

For 3 of 4 (Pt #1, Pt #2, Pt #4) home visits conducted, the Agency failed to provide the patient and/or patient's caregiver a written copy of pertinent instructions related to the patient's care needs.

Source: CMS Form 2567, inspection 2021-12-03, tag G0620 · view on CMS
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