← All agencies in Hayti, MO · Missouri

Extended Family Home Health Inc

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
Po Box 544, Hayti, MO 63851
CMS Certification Number 267548
26deficiencies since 2018
1serious
1inspections
n/aCMS 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 2018-05-03

· Recertification · 26 deficiencies · CMS source report (PDF)
Serious Patient Rights

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information based on the new home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care, the…

Source: CMS Form 2567, inspection 2018-05-03, tag G0406 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

The agency failed to develop and implement emergency preparedness policies and procedures that addressed the notification of State and local officials of any on-duty staff they are unable to contact during an emergency.

Source: CMS Form 2567, inspection 2018-05-03, tag E0021 · view on CMS
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Moderate Policies/Procedures-Volunteers And Staffing

The agency failed to develop and implement emergency preparedness policies and procedures that addressed the utilization of volunteers during an emergency.

Source: CMS Form 2567, inspection 2018-05-03, tag E0024 · view on CMS
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Moderate Names And Contact Information

The agency failed to develop and implement an emergency preparedness communication plan that included a list of names and contact information of entities providing services under arrangement and volunteers utilized during an emergency.

Source: CMS Form 2567, inspection 2018-05-03, tag E0030 · view on CMS
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Moderate Ep Training Program

The agency failed to develop an emergency preparedness plan training program that included initial training in emergency preparedness policies and procedures to all new and existing staff, maintained documentation of all emergency preparedness training, and demonstrated staff knowledge of emergency…

Source: CMS Form 2567, inspection 2018-05-03, tag E0037 · view on CMS
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Moderate Accessibility

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities…

Source: CMS Form 2567, inspection 2018-05-03, tag G0490 · view on CMS
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Moderate Infection Control Education

The agency failed to provide infection control education to staff in, but not limited to, two (Employees: E2 and E5) of five employee files reviewed.

Source: CMS Form 2567, inspection 2018-05-03, tag G0686 · view on CMS
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Minor Hha Administrator Contact Information

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the administrator's name and contact information in order to receive patient complaints.

Source: CMS Form 2567, inspection 2018-05-03, tag G0414 · view on CMS
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Minor [Removed And Reserved]

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include verbal notice of the patient's rights and responsibilities in the individual's language, free of charge, no later than the completion of…

Source: CMS Form 2567, inspection 2018-05-03, tag G0420 · view on CMS
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Minor Participate In Care

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the right to participate in, be informed about, and consent or refuse care in advance of and during treatment, with respect to: - The…

Source: CMS Form 2567, inspection 2018-05-03, tag G0434 · view on CMS
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Minor Payment From Federally Funded Programs

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of financial liability changes as soon as possible, in advance of the next home health visit.

Source: CMS Form 2567, inspection 2018-05-03, tag G0440 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of the names, addresses, and telephone numbers of the following Federally-funded and state…

Source: CMS Form 2567, inspection 2018-05-03, tag G0446 · view on CMS
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Minor Access To Auxiliary Aids And Language Service

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be informed of the right to access auxiliary aids and language services and how to access these services.

Source: CMS Form 2567, inspection 2018-05-03, tag G0450 · view on CMS
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Minor Document Efforts To Resolve Problems

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for discharge for cause.

Source: CMS Form 2567, inspection 2018-05-03, tag G0470 · view on CMS
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Minor Death Of Patient

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the…

Source: CMS Form 2567, inspection 2018-05-03, tag G0472 · view on CMS
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Minor Hha Ceases To Operate

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the agency…

Source: CMS Form 2567, inspection 2018-05-03, tag G0474 · view on CMS
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Minor Immediate Reporting Of Abuse By All Staff

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of…

Source: CMS Form 2567, inspection 2018-05-03, tag G0488 · view on CMS
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Minor Strengths, Goals, And Care Preferences

The agency failed to ensure the patient's strengths, goals, and care preferences, including information that may be used to demonstrate the patient's progress toward achievement of the goals identified by the patient were assessed/documented as part of the patient's comprehensive assessment in, but…

Source: CMS Form 2567, inspection 2018-05-03, tag G0530 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure the registered nurse (RN) performed an accurate and complete review/update of all medications the patient was currently using in, but not limited to, three (Records/Patients #1, #2, and #3) of five cases reviewed.

Source: CMS Form 2567, inspection 2018-05-03, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the patient's plan of care contained all required elements including, but not limited to, functional limitations, activities permitted, and patient-specific interventions including measurable outcomes and goals identified by the patient in, but not limited to, three…

Source: CMS Form 2567, inspection 2018-05-03, tag G0574 · view on CMS
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Minor Verbal Orders

The agency failed to ensure verbal orders in the patient's clinical record included a time of receipt as required by agency policy and new federal regulations effective January 13, 2018. This deficient practice occurred in, but not limited to, four (Records/Patients #1, #2, #3, and #4) of five…

Source: CMS Form 2567, inspection 2018-05-03, tag G0584 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

The agency failed to provide the name and contact information for the agency's clinical manager to all patients admitted to service after January 13, 2018 when this regulation became effective.

Source: CMS Form 2567, inspection 2018-05-03, tag G0622 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to ensure services were provided in accordance to the patient's plan of care in, but not limited to, one (Record/Patient #1) of five cases reviewed.

Source: CMS Form 2567, inspection 2018-05-03, tag G0710 · view on CMS
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Minor Participate In Hha-Sponsored In-Service

The agency failed to ensure staff received the required home health agency sponsored in-service training in, but not limited to, two (Employees: E2 and E5) of five employee files reviewed.

Source: CMS Form 2567, inspection 2018-05-03, tag G0722 · view on CMS
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Minor Rehab Services Supervised By Pt, Ot

The agency failed to ensure physical therapy assistant (PTA) services were provided under the supervision of the physical therapist (PT) in, but not limited to, two (Records/Patients #1 and #3) of three applicable cases reviewed.

Source: CMS Form 2567, inspection 2018-05-03, tag G0728 · view on CMS
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Minor In Accordance With Current Clinical Practice

The agency failed to: - Ensure contracted staff had a criminal background check performed in, but not limited to, two (Employees: E2 and E4) of five employee files reviewed; and - Ensure staff used appropriate bag technique during home visits to prevent contamination and spread of infectious…

Source: CMS Form 2567, inspection 2018-05-03, tag G0984 · view on CMS
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