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Kit Carson County Memorial Hospital Home Health
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.
286 16TH St, Burlington, CO 80807
CMS Certification Number 067140
2deficiencies 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 2022-01-26
· Recertification · 2 deficiencies · CMS source report (PDF)Minor Documentation Of Competency Evaluation
The agency failed to maintain documentation which demonstrated certified nurse aides (CNA) received the required observed competency evaluation in accordance with regulation prior to assignment of CNA services for 1 of 1 CNA personnel records reviewed (Employee # 3).
Source: CMS Form 2567, inspection 2022-01-26, tag G0772 · view on CMS
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Minor Required Items In Clinical Record
The agency failed to ensure clinical records contained accurate documentation of patient's clinical notes for 1 of 2 patients reviewed, who received certified nursing aide (CNA) services (Patient #4).
Source: CMS Form 2567, inspection 2022-01-26, tag G1012 · view on CMS
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