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Dickinson Home Health

(906) 776-1925722 River Ave, Iron Mountain, MI 49801
CMS Certification Number 237292 · Non-Profit · Medicare-certified since 07/01/1996
15deficiencies since 2018
0serious
1inspections
3CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-20; CMS agency list file dated 2026-05-27. What the labels mean

Inspection 2018-11-28

· Recertification, Sample Validation · 15 deficiencies · CMS source report (PDF)
Moderate Hha- Procedures For Follow Up Staff/Pts.

The agency failed to include in its emergency plan (EP) the procedures needed to follow-up with staff and patients to determine services that are needed in the event services are interrupted due to an emergency and to inform state and local authorities of any on-duty staff or patients that the…

Source: CMS Form 2567, inspection 2018-11-28, tag E0021 · view on CMS
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Moderate Information On Occupancy/Needs

The facility failed to ensure the emergency preparedness communication plan included a means for sharing information about the facility's occupancy, needs and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee, resulting in the lack of…

Source: CMS Form 2567, inspection 2018-11-28, tag E0034 · view on CMS
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Moderate Responsibilities Of Skilled Professionals

The physical therapist (PT) failed to adequately assess and monitor the needs of the patient in 1of 11 records reviewed for therapy services (MR#3) from a total sample of 13 records reviewed, resulting in the potential for unidentified care needs.

Source: CMS Form 2567, inspection 2018-11-28, tag G0704 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The Agency (HHA) failed to ensure the Registered Nurse (RN) prepared clear written patient care instructions that included safety precautions, functional limitations, assistive devices, and reportable parameters in 8 (MR's #1, #2, #3, #5, #6, #9, #11, and #13) of 9 records in which Home Health Aide…

Source: CMS Form 2567, inspection 2018-11-28, tag G0798 · view on CMS
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Moderate Protection Of Records

The agency (HHA) failed to ensure that clinical records were safeguarded against loss or unauthorized use, resulting in the potential for compromise of protected health information for all patients serviced by the agency.

Source: CMS Form 2567, inspection 2018-11-28, tag G1028 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The Agency (HHA) failed to advise their patients of the names, addresses and telephone numbers of federally-funded and state-funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs.

Source: CMS Form 2567, inspection 2018-11-28, tag G0446 · view on CMS
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Minor Treatment Or Care

The Agency (HHA) failed to ensure that Home Health Aide (HHa) services were furnished for 3 of 4 documented complaints reviewed, (#1, #2, and #3) resulting in unmet patient care needs and the potential for psychological decline.

Source: CMS Form 2567, inspection 2018-11-28, tag G0480 · view on CMS
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Minor Document Complaint And Resolution

The Agency (HHA) failed to ensure that all received complaints documented the resolution of the complaint and referral to the appropriate state agency resulting in the potential for unmet care needs.

Source: CMS Form 2567, inspection 2018-11-28, tag G0484 · view on CMS
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Minor Rn Performs Assessment

The Agency (HHA) failed to ensure that the initial comprehensive assessment visit was made within 48 hours of the date of referral for 4 records (MR's #5, #6, #9, #10), from a total of 13 records reviewed, resulting in the delay of needed services and the potential for decline in health status.

Source: CMS Form 2567, inspection 2018-11-28, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any potential adverse effects, significant drug interactions and duplicate drug therapy; and failed to ensure the physician was notified of the findings in 6 of 13 records reviewed (MR# 1, 4…

Source: CMS Form 2567, inspection 2018-11-28, 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 (POC) covered all pertinent interventions with reportable parameters and measurable goals specific to the needs of the patient for 4 of 13 records reviewed (MR# 1, 4, 7, 10), from a total sample of 13 records reviewed, resulting in patients not receiving…

Source: CMS Form 2567, inspection 2018-11-28, tag G0574 · view on CMS
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Minor Services Provided By Hh Aide

The agency failed to ensure the home health aide (HHa) provided services as ordered in the plan of care for 1 of 9 patients (MR# 10) in which HHa services were provided, from a total sample of 13 records reviewed, resulting in the patient not receiving services as ordered and the potential for…

Source: CMS Form 2567, inspection 2018-11-28, tag G0800 · view on CMS
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Minor Administrator Appointed By Governing Body

The Agency failed to ensure the Administrator was appointment by the Governing Body.

Source: CMS Form 2567, inspection 2018-11-28, tag G0946 · view on CMS
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Minor Ensures Qualified Pre-Designated Person

The Agency (HHA) failed to ensure a qualified alternate, was authorized in writing by the Administrator and the governing body, to function in the Administrator's absence, resulting in the potential for uncoordinated Agency functions.

Source: CMS Form 2567, inspection 2018-11-28, tag G0954 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals in 2 (MR #2, and #11) of 3 closed/discharged records, from a total of 13 records reviewed, resulting in the potential for unidentified…

Source: CMS Form 2567, inspection 2018-11-28, tag G1022 · view on CMS
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