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Marion County Home Care Services

(620) 382-3690535 S Freeborn, Marion, KS 66861
CMS Certification Number 177079 · Non-Profit · Medicare-certified since 11/01/1979
29deficiencies since 2018
1serious
2inspections
4.5CMS 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 2024-08-08

· Recertification · 22 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The Home Health Agency (HHA) failed to comply with the regulatory requirements specified in §484.102, §485.68, §485.542, and §485.727. Specifically, the HHA did not establish and maintain a comprehensive emergency preparedness program that meets all applicable Federal, State, and local emergency…

Source: CMS Form 2567, inspection 2024-08-08, tag E0001 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

The Home Health Agency (HHA) failed to comply with the requirement to develop and maintain a comprehensive emergency preparedness program, as specified under §484.102. Review of the agency's Emergency Preparedness Program (EPP) revealed that there was no documented date of review or revision for…

Source: CMS Form 2567, inspection 2024-08-08, tag E0004 · view on CMS
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Moderate Ep Program Patient Population

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness plan that addresses the patient/client population, as required by §484.102. Review of the agency's Emergency Preparedness Program (EPP) revealed that there was no policy or statement within the plan addressing the…

Source: CMS Form 2567, inspection 2024-08-08, tag E0007 · view on CMS
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Moderate Local, State, Tribal Collaboration Process

The Home Health Agency (HHA) failed to include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials, as required by §484.102. Review of the agency's Emergency Preparedness Program (EPP), last revised by the facility on…

Source: CMS Form 2567, inspection 2024-08-08, tag E0009 · view on CMS
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Moderate Hha Comprehensive Assessment In Disaster

The Home Health Agency (HHA) failed to develop and implement policies and procedures to address patient care during natural or man-made disasters, including the requirement for individual patient plans as part of the comprehensive patient assessment, as required by §484.102(b)(1).

Source: CMS Form 2567, inspection 2024-08-08, tag E0017 · view on CMS
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Moderate Homebound Hha/Hospice Inform Ep Officials

The Home Health Agency (HHA) failed to develop and implement procedures to inform State and local emergency preparedness officials about patients needing evacuation due to an emergency, based on their medical and psychiatric conditions and home environment.

Source: CMS Form 2567, inspection 2024-08-08, tag E0019 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

The Home Health Agency (HHA) failed to establish and implement procedures for following up with on-duty staff and patients to determine services needed during an emergency interruption.

Source: CMS Form 2567, inspection 2024-08-08, tag E0021 · view on CMS
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Moderate Policies/Procedures For Medical Documentation

The Home Health Agency (HHA) failed to establish and implement policies and procedures for maintaining a system of medical documentation.

Source: CMS Form 2567, inspection 2024-08-08, tag E0023 · view on CMS
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Moderate Policies/Procedures-Volunteers And Staffing

The Home Health Agency (HHA) failed to develop and implement policies and procedures for the use of volunteers and emergency staffing strategies.

Source: CMS Form 2567, inspection 2024-08-08, tag E0024 · view on CMS
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Moderate Development Of Communication Plan

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness communication plan that complies with Federal, State, and local laws.

Source: CMS Form 2567, inspection 2024-08-08, tag E0029 · view on CMS
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Moderate Names And Contact Information

The Home Health Agency (HHA) failed to include required contact information in their emergency preparedness communication plan as mandated by §484.102(c).

Source: CMS Form 2567, inspection 2024-08-08, tag E0030 · view on CMS
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Moderate Emergency Officials Contact Information

The Home Health Agency (HHA) failed to include required contact information in their emergency preparedness communication plan, as mandated by §484.102(c).

Source: CMS Form 2567, inspection 2024-08-08, tag E0031 · view on CMS
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Moderate Methods For Sharing Information

The Home Health Agency (HHA) failed to develop and maintain methods for sharing patient information and medical documentation with other health providers to maintain continuity of care.

Source: CMS Form 2567, inspection 2024-08-08, tag E0033 · view on CMS
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Moderate Information On Occupancy/Needs

The Home Health Agency (HHA) failed to include a means of providing information about its occupancy, needs, and ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee.

Source: CMS Form 2567, inspection 2024-08-08, tag E0034 · view on CMS
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Moderate Ep Training And Testing

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness training and testing program as required.

Source: CMS Form 2567, inspection 2024-08-08, tag E0036 · view on CMS
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Moderate Ep Training Program

The Home Health Agency (HHA) failed to develop and maintain an emergency preparedness training program as required.

Source: CMS Form 2567, inspection 2024-08-08, tag E0037 · view on CMS
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Moderate Ep Testing Requirements

The Home Health Agency (HHA) failed to meet the emergency preparedness testing requirements.

Source: CMS Form 2567, inspection 2024-08-08, tag E0039 · view on CMS
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Moderate Integrated Ep Program

The Home Health Agency (HHA) failed to comply with the requirements for an integrated emergency preparedness program as specified in §484.102(e).

Source: CMS Form 2567, inspection 2024-08-08, tag E0042 · view on CMS
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Minor Participate In Care

The home health agency skilled staff failed to ensure the patient's right to participate in, be informed about, and consent or refuse care in advance of and during treatment, with respect to the disciplines that will furnish the care and the frequency of visits for 7 (Patients 1 - 7) of 7 sample…

Source: CMS Form 2567, inspection 2024-08-08, tag G0434 · view on CMS
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Minor Visit Schedule

The Home Health Agency (HHA) failed to provide the patient and caregiver a copy of written instructions outlining visit schedules that included frequency of visits by HHA personnel for 7 (Patients 1 - 7) of 7 Patients.

Source: CMS Form 2567, inspection 2024-08-08, tag G0614 · view on CMS
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Minor Patient Medication Schedule/Instructions

The Home Health Agency (HHA) failed to provide the patient and caregiver a copy of written instructions outlining medication schedule instructions, that included medication name, dosage, frequency, and which medications would be administered by the HHA personnel for 7 (Patients 1 - 7) of 7 Patients.

Source: CMS Form 2567, inspection 2024-08-08, tag G0616 · view on CMS
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Minor Treatments And Therapy Services

The Home Health Agency (HHA) failed to provide the patient and caregiver a copy of written instructions outlining wound care treatments and therapy home exercise program for 3 (Patients 1, 2, and 3.) of 7 Patients.

Source: CMS Form 2567, inspection 2024-08-08, tag G0618 · view on CMS
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Inspection 2021-04-29

· Focused Infection Control, Other-Fed, Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The Home Health Agency (HHA) failed to develop an infection prevention and control program, that included procedures to ensure agency staff consistently followed accepted standards of practice for screening and masking to mitigate the risk of COVID-19 exposure for agency visitors and staff.

Source: CMS Form 2567, inspection 2021-04-29, tag G0682 · view on CMS
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Minor Make Complaints To The Hha

The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to make complaints to the HHA regarding the lack of respect for property and/or person by anyone who is furnishing services on behalf of the HHA.

Source: CMS Form 2567, inspection 2021-04-29, tag G0432 · view on CMS
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Minor Participate In Care

The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to participate in, be informed about, and consent or refuse care during treatment, where appropriate, with respect to; Completion of all assessments; The care to be…

Source: CMS Form 2567, inspection 2021-04-29, tag G0434 · view on CMS
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Minor Have A Confidential Clinical Record

The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to a confidential clinical record that included access to or release of patient information and clinical records permitted in accordance with 45 CFR parts 160 and 164. The…

Source: CMS Form 2567, inspection 2021-04-29, tag G0438 · view on CMS
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Minor Payment From Federally Funded Programs

The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to be advised of any changes in the information provided in accordance with paragraph (c)(7) of this section when they occur.

Source: CMS Form 2567, inspection 2021-04-29, tag G0440 · view on CMS
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Minor Written Notice For Non-Covered Care

The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA…

Source: CMS Form 2567, inspection 2021-04-29, tag G0442 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The Home Health Agency (HHA) failed to ensure the written notice of patient's rights and responsibilities included the right to be advised of the names, addresses, and telephone numbers of the following federally-funded and state-funded entities that serve the area where the patient resides that…

Source: CMS Form 2567, inspection 2021-04-29, tag G0446 · view on CMS
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