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Medisource Home Health Services

(575) 910-5521406A W College Blvd, Roswell, NM 88201
CMS Certification Number 327221 · Proprietary · Medicare-certified since 04/10/2014
16deficiencies since 2018
1serious
4inspections
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 2025-04-24

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The facility failed to ensure that one of two staff (Physical Therapist (PT) 1) observed during home visits performed hand hygiene in a manner to prevent cross contamination.

Source: CMS Form 2567, inspection 2025-04-24, tag G0682 · view on CMS
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Minor In Accordance With Current Clinical Practice

The Home Health Agency (HHA) failed to ensure that supplies kept in the supply storage room in the agency’s office for patient use were not expired.

Source: CMS Form 2567, inspection 2025-04-24, tag G0984 · view on CMS
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Inspection 2022-04-29

· Recertification · 14 deficiencies · CMS source report (PDF)
Serious Infection Prevention And Control

G680-CONDITION Based on policy review, record review, observation, and interviews, the home health agency (HHA) failed to meet the requirements of the Condition of Participation of Infection Prevention and Control.

Source: CMS Form 2567, inspection 2022-04-29, tag G0680 · view on CMS
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Moderate Local, State, Tribal Collaboration Process

E0009 Based on document review and interview, the home health agency (HHA) failed to develop a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials.

Source: CMS Form 2567, inspection 2022-04-29, tag E0009 · view on CMS
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Moderate Policies/Procedures For Medical Documentation

E0023 Based on record review and interview, the home health agency (HHA) failed to develop a policy that addressed a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records needed during a…

Source: CMS Form 2567, inspection 2022-04-29, tag E0023 · view on CMS
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Moderate Emergency Officials Contact Information

E0031 Based on document review and interview, the home health agency (HHA) failed to ensure the communication plan included contact information for State, tribal, regional, and local emergency preparedness staff.

Source: CMS Form 2567, inspection 2022-04-29, tag E0031 · view on CMS
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Moderate Methods For Sharing Information

E0033 Based on document review and interview, the home health agency (HHA) failed to ensure the communication plan included the method to be used for sharing information and medical documentation for patients with other health providers to maintain continuity of care.

Source: CMS Form 2567, inspection 2022-04-29, tag E0033 · view on CMS
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Moderate Information On Occupancy/Needs

E0034 Based on document review and interview, the home health agency (HHA) failed to ensure the communication plan included how the agency would provide information about the agency's occupancy, needs, and the agency's ability to assist the authority having jurisdiction.

Source: CMS Form 2567, inspection 2022-04-29, tag E0034 · view on CMS
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Moderate Infection Prevention

G682 Based on policy review, observation, and interview, the home health agency (HHA) failed to ensure accepted standards of practice, including the use of standard precautions, were followed to prevent the transmission of infections and communicable diseases.

Source: CMS Form 2567, inspection 2022-04-29, tag G0682 · view on CMS
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Moderate Covid-19 Vaccination Of Home Health Agency Staff

G687 Based on record review, policy review, and interview, the home health agency (HHA) failed to develop and implement policies and procedures to ensure that all staff are fully vaccinated as required in QSO-22-07-All for COVID-19. Three (Registered Nurse (RN) 1, Occupational Therapist (OT) 1…

Source: CMS Form 2567, inspection 2022-04-29, tag G0687 · view on CMS
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Moderate Protection Of Records

G1028 Based on policy review, observation, and interviews, the home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based medical record system.

Source: CMS Form 2567, inspection 2022-04-29, tag G1028 · view on CMS
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Minor Rn Performs Assessment

G514 Based on record review, policy review, and interview, the home health agency (HHA) failed to ensure an initial assessment was conducted within 48 hours of the referral for one (Patient (P) 5) of seven sampled patients.

Source: CMS Form 2567, inspection 2022-04-29, tag G0514 · view on CMS
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Minor Within 48 Hours Of The Patient'S Return

G548 Based on record review, policy review, and interview, the home health agency (HHA) failed to ensure the resumption of care (ROC) visit was performed within 48 hours of the patient's return from the hospital for one (Patient (P) 1) of seven patient records reviewed for a ROC visit.

Source: CMS Form 2567, inspection 2022-04-29, tag G0548 · view on CMS
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Minor Patient Medication Schedule/Instructions

G616 Based on record review, policy review, observation, and interviews, the home health agency (HHA) failed to ensure written information was provided to the patient regarding the patient's medication regimen as based on the medication review for two (Patient (P) 2, P3) of two patients observed…

Source: CMS Form 2567, inspection 2022-04-29, tag G0616 · view on CMS
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Minor Provide Services In The Plan Of Care

G710 Based on record review, policy review, and interviews, the home health agency (HHA) failed to ensure home health services were provided as ordered by the physician as indicated in the patient's plan of care (POC) for six (Patient (P) 1, P2, P4, P5, P6, P7) of seven sampled patients.

Source: CMS Form 2567, inspection 2022-04-29, tag G0710 · view on CMS
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Minor Communication With Physicians

G718 Based on record review, policy review, and interviews, the home health agency (HHA) failed to communicate with the physician in accordance with agency policy for missed visits and/or extra visits for five (Patient (P) 1, P2, P4, P6, P7) of seven sampled patients.

Source: CMS Form 2567, inspection 2022-04-29, tag G0718 · view on CMS
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Inspection 2019-06-20

· Other-Fed, Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2018-03-27

· Recertification · no deficiencies cited · CMS source report (PDF)