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Excelacare Home Health

(575) 625-8885201 E 2ND Street, Suite a, Roswell, NM 88201
CMS Certification Number 327218 · Proprietary · Medicare-certified since 07/30/2013
9deficiencies since 2018
0serious
2inspections
3.5CMS 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 2022-11-02

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The home health agency (HHA) failed to ensure staff practiced hand hygiene in accordance with policy as observed during two (Patient (P) 4, P2) of three home visits conducted on 11/01/22. This deficient practice had the potential to affect the current 155 patients and any future patient admitted…

Source: CMS Form 2567, inspection 2022-11-02, tag G0682 · view on CMS
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Moderate Covid-19 Vaccination Of Home Health Agency Staff

The home health agency (HHA) failed to ensure the agency's COVID-19 vaccination policy contained all the required content.

Source: CMS Form 2567, inspection 2022-11-02, tag G0687 · view on CMS
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Minor Rn Performs Assessment

The home health agency (HHA) failed to ensure staff performed the initial assessment within 48 hours of the referral or discharge from the hospital for six (Patient (P) 1, P3, P4, P5, P6, P7) of 10 patient records reviewed.

Source: CMS Form 2567, inspection 2022-11-02, tag G0514 · view on CMS
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Minor Patient Medication Schedule/Instructions

The home health agency (HHA) failed to ensure a copy of each patient's medication profile was in the home and kept current with the medications the patient was taking as observed during three of three patient (Patient (P) 4, P2, P1) home visits conducted from a sample of 10 patients.

Source: CMS Form 2567, inspection 2022-11-02, tag G0616 · view on CMS
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Minor Provide Services In The Plan Of Care

The home health agency (HHA) failed to ensure services were provided as ordered by the physician in the patient's plan of care (POC) for four (Patient (P) 1, P4, P8, P9) of ten sampled patients.

Source: CMS Form 2567, inspection 2022-11-02, tag G0710 · view on CMS
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Minor Communication With Physicians

The home health agency (HHA) failed to ensure the physician was notified of missed visits for three (Patient (P) 1, P4, P9) of 10 sampled patients.

Source: CMS Form 2567, inspection 2022-11-02, tag G0718 · view on CMS
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Inspection 2019-08-28

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The facility failed to ensure its staff complied with acceptable infection control practices by not using clean bag technique in 1(P#1) of 2(P#1,P#3) patients reviewed.

Source: CMS Form 2567, inspection 2019-08-28, tag G0682 · view on CMS
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Moderate Contents Of Clinical Record

The facility failed to document wound assessments which includes measurements of wounds for 1 (P#8) of 8 (P#1-P#8) patients sampled.

Source: CMS Form 2567, inspection 2019-08-28, tag G1010 · view on CMS
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Minor At Discharge

The facility failed to complete a comprehensive assessment at discharge of 1(P#1) of 2(P#1, P#3) patients reviewed.

Source: CMS Form 2567, inspection 2019-08-28, tag G0550 · view on CMS
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