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Interim HHA of St Augustine Inc

(386) 445-6079570 Memorial Cir, Ste 330, Ormond Beach, FL 32174
CMS Certification Number 107264 · Proprietary · Medicare-certified since 08/12/1988
6deficiencies since 2018
0serious
1inspection
3CMS 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 2018-11-08

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Accuracy Of Encoded Oasis Data

The facility failed to have an accurate Oasis Assessment for 1 of 17 sampled patients, Patient #13. The findings include: Record review for Resident #13 revealed a Start of Care date of 3/28/2018. The Plan of Care (Certification Period: 3/28/2018 - 5/26/2018) revealed Patient #13 had diagnoses of…

Source: CMS Form 2567, inspection 2018-11-08, tag G0374 · view on CMS
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Moderate Plan Of Care

The Agency failed to have patient-specific interventions in the Plan of Care (POC) for frequency of blood sugar testing for 1 of 17 sampled patients, Patient #14. The findings include: Patient #14 had a Start of Care (SOC) of 10/3/2018 with a Certification period of 10/3/2018 - 12/01/2018. Patient…

Source: CMS Form 2567, inspection 2018-11-08, tag G0572 · view on CMS
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Moderate Conformance With Physician Orders

The Agency failed to ensure that Nursing staff monitored blood sugar levels for a diabetic patient (Patient #14) per Plan of Care (POC), 1 of 14 sampled patients.

Source: CMS Form 2567, inspection 2018-11-08, tag G0578 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The facility failed to report a change in condition for 1 (#12) of 17 patients that necessitated a change in the Plan of Care for wound care.

Source: CMS Form 2567, inspection 2018-11-08, tag G0590 · view on CMS
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Minor Communication With All Physicians

The facility nurse failed to coordinate care with a physician for Chronic Obstructive Pulmonary Disease (COPD) to record medication changes for 1 of 17 sampled patients, Patient # 14. The findings include: 1. Patient #14 had a Start of Care (SOC) Oasis date of 10/3/2018 with a Certification Date of…

Source: CMS Form 2567, inspection 2018-11-08, tag G0602 · view on CMS
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Minor Required Items In Clinical Record

The facility failed to have the Home Health Certification and Plan of care orders signed by the Physician for 1 (#9) of 17 patients reviewed.

Source: CMS Form 2567, inspection 2018-11-08, tag G1012 · view on CMS
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