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Kah Development 4, LLC

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-05-27), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
409 West Fouth Street, Brinkley, AR 72021
CMS Certification Number 047840
4deficiencies since 2018
0serious
2inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-20; CMS agency list file dated 2026-05-27. What the labels mean

Inspection 2023-03-02

· Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The Skilled Nurse (SN) failed to follow accepted professional standards for infection control in 2 (#1 and #2) of 3 (#1, #2 and #3) home visits conducted.

Source: CMS Form 2567, inspection 2023-03-02, tag G0682 · view on CMS
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Inspection 2020-01-17

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Standard: Initial Assessment Visit.

The initial Comprehensive Assessment was not conducted within 48 hours of referral to Home Health services in 1 (#2) of 10 (#1 through #10) Clinical Records reviewed.

Source: CMS Form 2567, inspection 2020-01-17, tag G0512 · view on CMS
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Minor A Review Of All Current Medications

The Agency did not ensure a Registered Nurse (RN) conducted a review of all medications in 1 (#4) of 10 (#1 through #10) Clinical Records reviewed.

Source: CMS Form 2567, inspection 2020-01-17, tag G0536 · view on CMS
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Minor Provide Services In The Plan Of Care

The Agency staff did not provide care in accordance with the written Plan of Care (POC) in 2 (#9 and #10) of 10 (#1 - #10) Clinical Records reviewed.

Source: CMS Form 2567, inspection 2020-01-17, tag G0710 · view on CMS
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