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Encompass Health Home Health

(413) 610-2324487 Holyoke Street, Suite 1, Ludlow, MA 01056
CMS Certification Number 227611 · Proprietary · Medicare-certified since 03/23/2015
8deficiencies since 2018
0serious
4inspections
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 2025-11-26

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency failed to ensure infection control guidelines were maintained during the home visit observation of a urinary catheter change procedure for 1 patient (#4), out of a total sample of 7 home visits.

Source: CMS Form 2567, inspection 2025-11-26, tag G0682 · view on CMS
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Moderate Authentication

The agency failed to ensure clinical documentation was 1.) complete and appropriately authenticated and dated in accordance with currently accepted standards for 3 patients (#2, #11 and #12), and 2.) physician's signatures on plans of care were obtained within 60 days for 2 patients (#4 and #10)…

Source: CMS Form 2567, inspection 2025-11-26, tag G1024 · view on CMS
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Minor Written Notice For Non-Covered Care

The agency failed to ensure the Notice of Medicare Non-Coverage (NOMNC-an official Centers for Medicare and Medicaid Services {CMS} form that informs beneficiaries when their Medicare-covered skilled services, home health or outpatient rehabilitation services are ending and explains the right to…

Source: CMS Form 2567, inspection 2025-11-26, tag G0442 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to ensure that physician ordered services were provided as indicated in the plan of care, for 5 Patients (#6, #11, #12, #14 and #8), out of a total sample of 17 patients.

Source: CMS Form 2567, inspection 2025-11-26, tag G0710 · view on CMS
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Inspection 2022-11-15

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Conformance With Physician Orders

The Agency failed to ensure its staff conformed with the Physician's orders for four Patients (#1, #4, #6 and #15) out of a total sample of 17 Patients.

Source: CMS Form 2567, inspection 2022-11-15, tag G0578 · view on CMS
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Minor Communication With Physicians

The Agency failed to ensure its staff notified the Physician when there was a change in the plan of care for two Patient's (#4 and #6) out of a total sample of 17 Patients.

Source: CMS Form 2567, inspection 2022-11-15, tag G0718 · view on CMS
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Inspection 2019-12-20

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

Inspection 2018-04-10

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure that onsite Home Health Aide supervisory visits were made no less frequently than every 14 days for 2 of 4 patients receiving Home Health Aide services (#6 and 15), in a total sample of 17 patients.

Source: CMS Form 2567, inspection 2018-04-10, tag G0808 · view on CMS
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Minor In Accordance With Current Clinical Practice

The agency failed to follow acceptable standards of practice for 2 patients (#10 and 13), in a total sample of 17 patients.

Source: CMS Form 2567, inspection 2018-04-10, tag G0984 · view on CMS
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