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Premium Health at Home Inc

(307) 745-87101262 N 22ND St, Laramie, WY 82072
CMS Certification Number 537833 · Proprietary · Medicare-certified since 07/14/2009
16deficiencies since 2018
1serious
7inspections
n/aCMS 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 2024-08-15

· Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Governing Body

The agency's governing board failed to assume full legal authority and responsibility for the agency's overall management and operation.

Source: CMS Form 2567, inspection 2024-08-15, tag G0942 · view on CMS
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Inspection 2023-04-19

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

Inspection 2021-09-03

· Complaint, Focused Infection Control, Other-Fed · 2 deficiencies · CMS source report (PDF)
Serious Patient Rights

The facility failed to ensure patient rights were protected and promoted.

Source: CMS Form 2567, inspection 2021-09-03, tag G0406 · view on CMS
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Minor Be Free From Abuse

The agency failed to ensure patients were free from mental abuse a reasonable person would find humiliating and intimidating for 1 of 6 sample patient (#4).

Source: CMS Form 2567, inspection 2021-09-03, tag G0430 · view on CMS
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Inspection 2021-08-18

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Accuracy Of Encoded Oasis Data

Staff interview the agency failed to accurately reflect the patient's status in 1 of 7 sample patients (#3) at the time of assessment.

Source: CMS Form 2567, inspection 2021-08-18, tag G0374 · view on CMS
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Moderate Infection Control

The agency failed to develop a method for identifying infectious disease to include a patient screening process for COVID-19. This failure resulted in the omission of a COVID-19 screening for 2 of 3 patients (#6, #7) during a home visit.

Source: CMS Form 2567, inspection 2021-08-18, tag G0684 · view on CMS
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Moderate 12 Hours Inservice Every 12 Months

Staff interview the agency failed to provide 12 hours of annual in-service training for 2 of 6 sample staff (HHA #5, HHA #6).

Source: CMS Form 2567, inspection 2021-08-18, tag G0774 · view on CMS
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Minor In Accordance With Current Clinical Practice

The agency failed to ensure supplies available for use were not expired for 1 of 1 supply room.

Source: CMS Form 2567, inspection 2021-08-18, tag G0984 · view on CMS
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Inspection 2019-10-18

· Complaint · 3 deficiencies · CMS source report (PDF)
Minor Written Notice For Non-Covered Care

The agency failed to provide advanced written notice of termination of care for 2 of 6 sample patients (#5, #6).

Source: CMS Form 2567, inspection 2019-10-18, tag G0442 · view on CMS
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Minor Hha Can No Longer Meet The Patient'S Needs

The agency failed to ensure the termination of services was necessary for patient welfare for 1 of 6 sample patients (#5).

Source: CMS Form 2567, inspection 2019-10-18, tag G0454 · view on CMS
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Minor Provide Contact Info Other Services

The agency failed to provide the patient and representative with contact information for other agencies or providers that may be able to provide care for 1 of 6 sample patients (#5).

Source: CMS Form 2567, inspection 2019-10-18, tag G0468 · view on CMS
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Inspection 2018-04-11

· Recertification · 3 deficiencies · CMS source report (PDF)
Minor Aides Are Members Of Interdisciplinary Team

The agency failed to ensure HHAs accurately completed documentation and reported changes in patient condition for 2 of 5 sample patients (#2, #7) with HHA services.

Source: CMS Form 2567, inspection 2018-04-11, tag G0804 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure HHA supervisory visits were completed every 14 days for 1 of 5 sample patients (#1) with HHA receiving services.

Source: CMS Form 2567, inspection 2018-04-11, tag G0808 · view on CMS
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Minor In Accordance With Current Clinical Practice

The agency failed to ensure supplies available for use were not expired for 1 of 1 supply rooms.

Source: CMS Form 2567, inspection 2018-04-11, tag G0984 · view on CMS
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Inspection 2018-04-11

· Other-Fed · 3 deficiencies · CMS source report (PDF)
Moderate Development Of Ep Policies And Procedures

The agency failed to develop and implement emergency preparedness policies and procedures as required.

Source: CMS Form 2567, inspection 2018-04-11, tag E0013 · view on CMS
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Moderate Development Of Communication Plan

The agency failed to develop a communication plan which included all required components.

Source: CMS Form 2567, inspection 2018-04-11, tag E0029 · view on CMS
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Moderate Ep Training And Testing

The agency failed to develop a training and testing program based on emergency preparedness policies and a communication plan.

Source: CMS Form 2567, inspection 2018-04-11, tag E0036 · view on CMS
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