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Mountain Regional Personal Care Services Inc

(276) 431-1440463 Duff Patt Highway, Duffield, VA 24244
CMS Certification Number 497592 · Proprietary · Medicare-certified since 08/10/2004
12deficiencies since 2018
0serious
3inspections
2CMS 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 2024-10-03

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency's staff failed to ensure home health services were provided according to the patient's individualized plan of care for one (1) of four (4) patient's in the survey sample (Clinical Record for Patient #9).

Source: CMS Form 2567, inspection 2024-10-03, tag G0572 · view on CMS
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Minor Participate In Care

The agency failed to ensure patients were informed about and consented to the frequency of proposed visits in advance of starting care for five (5) of (17) patients in the survey sample (Clinical Record, Patient #'s: 4, 9, 11, 14, and 16).

Source: CMS Form 2567, inspection 2024-10-03, tag G0434 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure accurate and complete medication lists were documented in one (1) of one (1) clinical record with a PICC line (catheter inserted through a peripheral vein to deliver medications) reviewed in the survey sample (Clinical Record for Patient #4). 1.The clinical record for…

Source: CMS Form 2567, inspection 2024-10-03, tag G0536 · view on CMS
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Inspection 2020-10-28

· Complaint, Focused Infection Control, Other-Fed, Recertification · 9 deficiencies · CMS source report (PDF)
Moderate Local, State, Tribal Collaboration Process

The agency's emergency preparedness plan (EPP) failed to include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials.

Source: CMS Form 2567, inspection 2020-10-28, tag E0009 · view on CMS
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Moderate Emergency Officials Contact Information

The agency's emergency preparedness plan (EPP) failed to include contact information for local, tribal, regional, State, and Federal emergency preparedness officials or for other sources of assisatnce.

Source: CMS Form 2567, inspection 2020-10-28, tag E0031 · view on CMS
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Moderate Plan Of Care

The agency's staff failed to ensure home health services were provided according to the patient's individualized plan of care.

Source: CMS Form 2567, inspection 2020-10-28, tag G0572 · view on CMS
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Moderate Infection Prevention

The agency failed to mitigate the risk for COVID-19 transmission.

Source: CMS Form 2567, inspection 2020-10-28, tag G0682 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to provide adequate written patient care instructions for the home health aide (HHA).

Source: CMS Form 2567, inspection 2020-10-28, tag G0798 · view on CMS
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Minor Participate In Care

The agency failed to document informing patients verbally and in writing regarding the disciplines frequency of proposed visits for four (4) of 10 clinical records reviewed in the survey sample (Clinical records #1, #8, #9 and #10).

Source: CMS Form 2567, inspection 2020-10-28, tag G0434 · view on CMS
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Minor Payment From Federally Funded Programs

The agency failed to document informing patients verbally and in writing regarding their financial liability in four (4) of 10 clinical records reviewed in the survey sample (Clinical records: #1, #8, #9 and #10) The findings: Ten clinical records were reviewed 10/26/2020 between the hours of 8:30…

Source: CMS Form 2567, inspection 2020-10-28, tag G0440 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the patient's individualized plan of care included evidence that the patient participated in goal setting and/or agreed with goals identified by the Home Health Agency in 10 of 10 clinical records reviewed in the survey sample (Clinical records: #1 - #10) The findings…

Source: CMS Form 2567, inspection 2020-10-28, tag G0574 · view on CMS
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Minor Direct Support And Administrative Control

The agency failed to demonstrate the lines of authority between the parent agency and its branches.

Source: CMS Form 2567, inspection 2020-10-28, tag G0974 · view on CMS
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Inspection 2018-02-22

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