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Grace Compassion Home Health Agency

(972) 516-10698330 Lbj Freeway Ste 915, Dallas, TX 75243
CMS Certification Number 747729 · Proprietary · Medicare-certified since 04/20/2012
8deficiencies since 2018
0serious
2inspections
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 2025-09-29

· Complaint · 6 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure the patient received the home health services that were written in an individualized plan of care that identified patient-specific measurable outcomes and goals, and which was established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry…

Source: CMS Form 2567, inspection 2025-09-29, tag G0572 · view on CMS
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Minor Be Free From Abuse

The agency failed to provide treatments and services necessary to avoid physical harm or neglect for 1 (Patient 3) of 3 patients reviewed for patient rights.

Source: CMS Form 2567, inspection 2025-09-29, tag G0430 · view on CMS
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Minor Participate In Care

The agency failed to ensure in advance of and during treatment, that patients were informed and consented to the care furnished by the agency to include; completion of all assessments; establishing and revising the plan of care; the disciplines that will furnish the care; the frequency of visits…

Source: CMS Form 2567, inspection 2025-09-29, tag G0434 · view on CMS
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Minor All Orders Recorded In Plan Of Care

The agency failed to ensure all patient care orders, including verbal orders, were recorded in the plan of care for 3 (Patients 1, 2 and 3) of 3 active patients’ records reviewed.

Source: CMS Form 2567, inspection 2025-09-29, tag G0576 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure services and treatments are administered only as ordered by a physician or allowed practitioner for 1 (Patients 3) of 3 active patients’ records reviewed.

Source: CMS Form 2567, inspection 2025-09-29, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The Home Health Agency failed to promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered for 2 (Patients 1 and 3) of 3 active patients’…

Source: CMS Form 2567, inspection 2025-09-29, tag G0590 · view on CMS
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Inspection 2024-05-29

· Complaint, Recertification · 2 deficiencies · CMS source report (PDF)
Minor Written Notice Of Patient'S Rights

The agency failed to provide written notice of the agency's transfer and discharge policy for 2 (Patients #1 and 2) of 2 patients who received home visits from the surveyor.

Source: CMS Form 2567, inspection 2024-05-29, tag G0412 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the patient plans of care were complete and included all required elements.

Source: CMS Form 2567, inspection 2024-05-29, tag G0574 · view on CMS
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