Our Duty Home Health, Inc
Inspection 2026-07-31
· Recertification · 15 deficiencies · CMS source report (PDF)An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Comprehensive Assessment of…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (the terms healthcare organizations must meet in order to participate in federally funded healthcare programs) compliance with Quality…
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Therapeutic care directly to patients in their own homes) failed to ensure the Conditions of Participations (COP - conditions that health care organizations must meet in order to begin and continue participating in the Medicare [a federal system of health insurance for people 65 years of age or…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…
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An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (conditions that healthcare organizations must meet in order to begin and continue participating in Medicare [a federal health insurance for…
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Therapeutic care to patients directly inside their own homes) failed to provide documented evidence all staff had participated the emergency preparedness drills (the steps taken to make sure patients and staff are safe before, during and after an emergency or natural disaster) annually.
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The Home Health Agency (HHA) failed to ensure performance improvement projects (PIP) were conducted annually.
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The HHA governing body failed to provide documented evidence the QAPI program was being implemented by the agency annually.
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The Home Health Agency (HHA) failed to maintain a written, coordinated, and active infection control program as required for every Medicare certified home health agency to tract, prevent, and control infections and communicable diseases.
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The HHA failed to ensure two of two Certified Home Health Aides (CHHA 1, CHHA 2) completed their competency evaluation during the hiring process.
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The HHA failed to ensure the comprehensive assessment was completed no later than 5 days after the start of care for one of seven sampled patients (Patient 2).
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The HHA failed to ensure an accurate patient assessment was completed to reflect the current mobility status of one of seven sampled patients (Patient 2).
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The Home Health Agency (HHA) failed to maintain an updated medication profile for one out of 7 sampled patients (Patient 3).
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The HHA failed to maintain documentation of the CHHA training and inservices for two of two CHHA (CHHA 1, CHHA 2).
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Failed to ensure five of seven employees were qualified to provide home health services (RN1, LVN1, DOND, CHHA1 and CHHA2).
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