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Moore Genuine Care

(715) 286-2734711 Anderson St Lower Level, Augusta, WI 54722
CMS Certification Number 527297 · Proprietary · Medicare-certified since 10/16/2006
38deficiencies since 2018
3serious
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 2024-01-30

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

Inspection 2018-02-27

· Recertification · 38 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

This home health agency failed to ensure there is a comprehensive Emergency Preparedness Program in 1 of 1 Emergency Plans Reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0001 · view on CMS
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Serious Quality Assessment/Performance Improvement

This agency failed to develop, implement, evaluate and maintain an effective ongoing home health agency wide data-driven Quality Assessment and Improvement program (QAPI) in 1 or 1 Quality program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0640 · view on CMS
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Serious Infection Prevention And Control

This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0680 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

This agency failed to establish an Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0004 · view on CMS
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Moderate Plan Based On All Hazards Risk Assessment

This agency failed to document a risk assessment in 1 of 1 Emergency Preparedness programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0006 · view on CMS
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Moderate Ep Program Patient Population

This agency failed to ensure there is a continuity of operations plan in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0007 · view on CMS
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Moderate Local, State, Tribal Collaboration Process

This agency failed to ensure there is documentation of local and/or regional personnel involved in developing the Emergency Preparedness program, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0009 · view on CMS
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Moderate Development Of Ep Policies And Procedures

This agency failed to ensure there Emergency Preparedness policies based on a risk assessment, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0013 · view on CMS
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Moderate Hha Comprehensive Assessment In Disaster

This agency failed to develop policies and procedure in the Emergency Preparedness plan to ensure all patients have an individualized plan in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0017 · view on CMS
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Moderate Homebound Hha/Hospice Inform Ep Officials

This agency failed to establish policy and procedure to inform State and Local Emergency Preparedness officials patients evacuation plan, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0019 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

This agency failed to establish procedures to inform state and local officials of any on-duty staff or patients unable to contact, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0021 · view on CMS
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Moderate Policies/Procedures For Medical Documentation

This agency failed to ensure there is a policy on securing and making medical records available in an emergency, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0023 · view on CMS
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Moderate Policies/Procedures-Volunteers And Staffing

This agency failed to ensure there is a policy on the use of volunteers in an emergency, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0024 · view on CMS
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Moderate Development Of Communication Plan

This agency failed to ensure there is a communication plan, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0029 · view on CMS
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Moderate Names And Contact Information

This agency failed to ensure there is documentation of emergency contact information, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0030 · view on CMS
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Moderate Emergency Officials Contact Information

This agency failed to ensure there is documentation of official emergency contacts, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0031 · view on CMS
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Moderate Primary/Alternate Means For Communication

This agency failed to ensure there are multiple means of communication with emergency contacts and officials in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0032 · view on CMS
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Moderate Methods For Sharing Information

This agency failed to ensure there is a policy on sharing medical records in the event of an emergency, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0033 · view on CMS
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Moderate Information On Occupancy/Needs

This agency failed to ensure there is a communication plan that complies with federal, state, and local laws , in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0034 · view on CMS
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Moderate Ep Training And Testing

This agency failed to develop and maintain an emergency preparedness training and testing program, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0036 · view on CMS
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Moderate Ep Training Program

This agency failed to ensure there is a policy for training in emergency preparedness, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0037 · view on CMS
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Moderate Ep Testing Requirements

This agency failed to ensure the emergency plan was tested at least annually, in 1 of 1 Emergency Programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag E0039 · view on CMS
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Moderate Program Scope

This agency failed to develop a QAPI program that measured, analyze, and tracked quality indicators in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0642 · view on CMS
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Moderate Program Data

This agency failed to use quality indicator data in design of the QAPI program.

Source: CMS Form 2567, inspection 2018-02-27, tag G0644 · view on CMS
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Moderate Program Activities

This agency failed to develop a QAPI program that tracked performance improvement activities in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0646 · view on CMS
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Moderate Track Adverse Patient Events

This agency failed to develop a QAPI program that track adverse events, analyze causes implement preventative actions in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0654 · view on CMS
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Moderate Performance Improvement Projects

This agency failed to document the quality improvement projects undertaken in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0658 · view on CMS
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Moderate Executive Responsibilities For Qapi

This agency's governing body failed to ensure a ongoing QAPI program was implemented and maintained in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0660 · view on CMS
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Moderate Infection Prevention

This agency failed to maintain and document an infection control program in 1 of 1 infection control programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0682 · view on CMS
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Moderate Infection Control

This agency failed to maintain a method for identifying infections and communicable disease problem in 1 of 1 infection control programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0684 · view on CMS
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Moderate Infection Control Education

This agency failed to provide infection control education to staff, patient and caregivers 1 of 1 infection control programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0686 · view on CMS
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Moderate Administrator Must:

This agency's administrator failed to ensure the agency followed current regulations in 2 of 2 programs reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0944 · view on CMS
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Minor Protect Patient During Investigation

This agency failed to ensure patients were provided this agency's action to prevent further violations after a complaint investigation in 3 of 3 records reviewed for patients admitted after 1/13/2018 (Patients #1, #3 & #8).

Source: CMS Form 2567, inspection 2018-02-27, tag G0486 · view on CMS
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Minor Plan Of Care Must Include The Following

This agency failed to individualize the plan of care to include the patient's psychosocial and cognitive status, risk of emergency department visits, re-admission, all necessary interventions to address underlying risk factors, patient and caregiver education, and training to facilitate a timely…

Source: CMS Form 2567, inspection 2018-02-27, tag G0574 · view on CMS
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Minor High Risk, High Volume, Or Problem-Prone Area

This agency failed to develop a QAPI program that based on high risk, high volume, or problem-prone areas in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0648 · view on CMS
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Minor Incidence, Prevalence, Severity Of Problems

This agency failed to develop a QAPI program that measure incidence, prevalence, and severity of problems in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0650 · view on CMS
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Minor Activities Lead To An Immediate Correction

This agency failed to develop a QAPI program that leads to immediate correction in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0652 · view on CMS
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Minor Improvements Are Sustained

This agency failed to develop a QAPI program that track performance to ensure improvements are sustained in 1 of 1 QAPI program reviewed.

Source: CMS Form 2567, inspection 2018-02-27, tag G0656 · view on CMS
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