Immaculate Home Health, Inc
Inspection 2026-04-09
· Complaint · 12 deficiencies · CMS source report (PDF)The Agency failed to meet the operational requirements, institutional planning and allow survey activities to determine if the Agency meets the requirements to participate in the Medicare program.
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The Agency failed to operate and furnish services in compliance with federal and state regulations.
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The Agency failed to ensure the Administrator was appointed by the governing body, responsible for day to day operations, ensures the HHA employs qualified personnel and was available at all times during the operating hours of the agency.
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Agency failed to authenticate clinical records and failed to retain clinical records beyond 6 months.
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The Agency failed to notify the Department of the Agency's change of Ownership and change in Management.
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The Agency failed to verify licenses and certifications for staff providing care.
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The Agency failed to ensure Plans of Care were authenticated by physician signatures.
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The Agency failed to provide clinical records for review prior to November 2025. Findings include: 1. During the entrance interview on 04/09/26 at 11:30 AM, Owner #2 stated the Agency has electronic documentation for clinical records.
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The Agency failed to provide Governing Body minutes Appointing the Administrator.
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The Administrator failed to conduct and be responsible for the Agency's day to day operations.
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The Administrator failed to provide documentation indicating Agency employs qualified personnel.
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The Agency Administrator of Designee was not available during all operating hours of the Agency.
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