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Jk Home Health Service

(972) 329-3900609 North Ebrite Street Suite 103, Mesquite, TX 75149
CMS Certification Number 457980 · Proprietary · Medicare-certified since 01/18/2006
3deficiencies since 2018
0serious
1inspections
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 2023-03-03

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Competency Evaluation

The agency failed to ensure each of the tasks listed at 484.80(b)(3) were evaluated by observation of the hha performance of the tasks for 3 (employees A, B and C) of 3 hha personnel records reviewed.

Source: CMS Form 2567, inspection 2023-03-03, tag G0768 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the POC's included pain level parameters to report to the physician for 3 (Patients # 3, 4 and 5) of 5 active patients whose physician had ordered the SN to assess pain.

Source: CMS Form 2567, inspection 2023-03-03, tag G0574 · view on CMS
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Minor Visit Schedule

The agency failed to provide the patient and/or caregiver with written information outlining a visit schedule including frequency of visits by home health staff in 3 (Patients #1, 4 and 5) of 3 patients' home folders reviewed during home visits.

Source: CMS Form 2567, inspection 2023-03-03, tag G0614 · view on CMS
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