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Grove Park Pharmacy Home Care, LLC

(803) 536-66441353 Grove Park Drive, Orangeburg, SC 29115
CMS Certification Number 427861 · Proprietary · Medicare-certified since 12/02/2021
14deficiencies since 2018
0serious
2inspections
2CMS 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 2024-07-17

· Recertification · 8 deficiencies · CMS source report (PDF)
Minor Rn Performs Assessment

The Home Health Agency (HHA) failed to complete the initial assessment visit either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner ordered start of care date for three of seven patient records reviewed, Patients #3 and #6.…

Source: CMS Form 2567, inspection 2024-07-17, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

The home health agency staff failed to provide and update the current medication list for 1 of 2 applicable patient records reviewed.

Source: CMS Form 2567, inspection 2024-07-17, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The home health agency failed to include re-hospitalization risk assessments and parameters for glucose reporting in the Plan of Care (POC) for 6 out of 7 patients (Patient #1, #2, #3, #5, #6 and #7).

Source: CMS Form 2567, inspection 2024-07-17, tag G0574 · view on CMS
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Minor All Orders Recorded In Plan Of Care

The Home Health Agency (HHA) failed to ensure physician's orders were documented in the clinical record for two of seven patient records reviewed, Patients #1 and #3. Findings include: Review of Patient #1's record on 7/15/24 at 1:19 PM revealed Patient #1 was admitted to the HHA on 5/30/24 with a…

Source: CMS Form 2567, inspection 2024-07-17, tag G0576 · view on CMS
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Minor Only As Ordered By A Physician

The Home Health Agency (HHA) failed to ensure services were only provided as ordered by a physician or allowed practitioner for two of seven records reviewed for physician's orders, (Patient #5 and Patient #6).

Source: CMS Form 2567, inspection 2024-07-17, tag G0580 · view on CMS
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Minor Provide Services In The Plan Of Care

The Home Health Agency (HHA) failed to ensure Skilled Nursing (SN), Physical Therapy (PT) and Occupational Therapy (OT) provided services as indicated in the plan of care and physician referral for two of seven patient records reviewed, (Patient #2 and Patient #4).

Source: CMS Form 2567, inspection 2024-07-17, tag G0710 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The Home Health Agency (HHA) failed to complete a supervisory assessment of the aide services being provided no less frequently than every 14 days for one of one patient records reviewed receiving aide services, Patient #1. Findings include: On 7/16/24 at 9:35 AM a home visit by Aide #1 to Patient…

Source: CMS Form 2567, inspection 2024-07-17, tag G0808 · view on CMS
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Minor Interventions And Patient Response

The Home Health Agency (HHA) failed to ensure laboratory results from blood draws by the HHA Nurse were in the patients clinical record for one of one patients reviewed for laboratory tests, Patient #1. Findings include: Review of Patient #1's record on 7/15/24 at 1:19 PM revealed Patient #1 was…

Source: CMS Form 2567, inspection 2024-07-17, tag G1014 · view on CMS
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Inspection 2021-12-02

· Initial Certification · 6 deficiencies · CMS source report (PDF)
Moderate Develop Ep Plan, Review And Update Annually

The agency failed to provide a policy within the agency’s Emergency Preparedness Plan (EPP) for staffing in an emergency.

Source: CMS Form 2567, inspection 2021-12-02, tag E0004 · view on CMS
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Moderate Plan Of Care

The agency staff failed to provide measurable goals for all goals listed on the Plan of Care (POC) in six out of seven patient records reviewed (Patient #1- #6).

Source: CMS Form 2567, inspection 2021-12-02, tag G0572 · view on CMS
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Moderate Conformance With Physician Orders

The Skilled Nurse (SN) failed to follow orders on the Plan Of Care (POC) regarding weights, notification of the Physician for data outside of ordered parameters, and obtaining vital signs in three out of seven chart reviewed (Patient #2, Patient #4, and Patient #5).

Source: CMS Form 2567, inspection 2021-12-02, tag G0578 · view on CMS
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Moderate Review And Revision Of The Plan Of Care

The agency staff failed to update the Plan of Care (POC) during the certification period in three out seven patient records reviewed (Patient #1, #2, and #5).

Source: CMS Form 2567, inspection 2021-12-02, tag G0586 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency staff failed to provide a Plan of Care (POC) that contained all required components in seven out of seven patient records reviewed (Patient #1 - #7).

Source: CMS Form 2567, inspection 2021-12-02, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to provide a Clinical Manager’s availability during all operating hours of the agency due to the Clinical Manager’s 0.5 Full-Time Equivalent (FTE) responsibility to another agency located within the same office space.

Source: CMS Form 2567, inspection 2021-12-02, tag G0590 · view on CMS
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