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Complete Home Health Care, LLC

(734) 672-776520663 Churchill Ave, Brownstown Twp., MI 48183
CMS Certification Number 237638 · Proprietary · Medicare-certified since 11/30/2006
12deficiencies since 2018
0serious
1inspections
2CMS 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 2025-01-10

· Recertification · 12 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure its disciplines followed the visit frequency as ordered by the Physician and in the Plan of Care for 2 (P-2, P-3) patients who required skilled services, from a total of 7 sampled records reviewed, resulting in the patients not receiving care according to their…

Source: CMS Form 2567, inspection 2025-01-10, tag G0572 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The Agency failed to ensure the Skilled Nurse prepared clear written patient care instructions for the home health aide regarding client needs and safety precautions, prior to the provision of care in 2 (P-2, P-6) of 5 records in which Home Health Aide services were ordered, from a total of 7…

Source: CMS Form 2567, inspection 2025-01-10, tag G0798 · view on CMS
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Moderate Skilled Services Furnished

The agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the agency contracting for each qualified patient care service.

Source: CMS Form 2567, inspection 2025-01-10, tag G0982 · view on CMS
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Minor Rn Performs Assessment

The Agency failed to ensure the Initial Comprehensive Assessment was conducted within 48 hours of the date of referral for 1 (P-2) of 1 record where start of care services was delayed, from a total of 7 sampled records reviewed, resulting in delay in needed care and services and the potential for…

Source: CMS Form 2567, inspection 2025-01-10, tag G0514 · view on CMS
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Minor Patient'S Needs

The agency failed to ensure Activity of Daily Living needs were adequately met in the home for 1 (P-3) of 1 patient assessed as needing assistance with grooming, from a total of 7 sampled records reviewed, resulting in the potential for poor hygiene, psychological decline and unmet care needs.

Source: CMS Form 2567, inspection 2025-01-10, tag G0534 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure the comprehensive assessments included a review of all the patient's prescribed medications to determine any adverse effects in 2 (P-3, P-6) of 7 sampled records reviewed, resulting in the potential for harmful medication effects for all patients currently serviced by…

Source: CMS Form 2567, inspection 2025-01-10, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the plan of care included safety measures, skilled nursing interventions, measurable outcomes, and goals for 4 of 7 (P-2, P-3, P-6, P-7) records reviewed, resulting in patients not receiving care specific to their individual needs and the potential for poor patient…

Source: CMS Form 2567, inspection 2025-01-10, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to ensure its skilled disciplines promptly notified the Physician of 1 P-3) patient who was transferred and admitted to the hospital for change in condition; and failed to notify the Physician of 1 (P-4) patient who experienced unrelieved pain, from a total of 7 sampled records…

Source: CMS Form 2567, inspection 2025-01-10, tag G0590 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

The Agency failed to include contact information for the Home Health Agency's Clinical Manager in the Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.

Source: CMS Form 2567, inspection 2025-01-10, tag G0622 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

The agency failed to ensure the Skilled Nurse conducted baseline and ongoing assessments of the patient’s blood sugars and weight for 1 (P-3) record; and failed to ensure the occupational therapist performed an assessment at discharge for 1 of 1 (P-5) records reviewed with occupational therapy…

Source: CMS Form 2567, inspection 2025-01-10, tag G0706 · view on CMS
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Minor Services Provided By Hh Aide

The agency failed to ensure the Home Health Aide provided care and services only as ordered in the Aide Plan of Care for 1 (P-1) patient observed during a scheduled Home Health Aide visit, from a total of 7 sampled records reviewed, resulting in the potential for rendering of unsafe services and…

Source: CMS Form 2567, inspection 2025-01-10, tag G0800 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, progress toward goals, and forwarded to the receiving facility and the Physician in 3 (P-2, P-3, P-5) records in which the patient was…

Source: CMS Form 2567, inspection 2025-01-10, tag G1022 · view on CMS
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