← All agencies in Lacey, WA · Washington

Providence at Home With Compassus, Puget Sound South

(360) 459-83114200 6TH Ave SE Ste 201, Lacey, WA 98503
CMS Certification Number 507004 · Non-Profit · Medicare-certified since 12/01/1978
11deficiencies since 2018
0serious
2inspections
3CMS 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 2024-08-08

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Accuracy Of Encoded Oasis Data

The agency failed to accurately complete the Outcome and Assessment Information Set (OASIS) data for M0102 and M0104 for 4 of 17 patients (Patient #301, #308, #311, and #312).

Source: CMS Form 2567, inspection 2024-08-08, tag G0374 · view on CMS
Show inspector's text

Loading…

Moderate Plan Of Care

The agency failed to ensure the plan of care was followed as ordered by the physician for 5 of 17 patients (Patient #305, #310, #311, #314 and #317).

Source: CMS Form 2567, inspection 2024-08-08, tag G0572 · view on CMS
Show inspector's text

Loading…

Minor Participate In Care

The agency failed to inform patients of all aspects of their plan of care, including the total frequency of the proposed services and the manner in which the agency will provide those care and services for 17 of 17 patients (Patient #301, #302, #303, #304, #305, #306, #307, #308, #309, #310, #311…

Source: CMS Form 2567, inspection 2024-08-08, tag G0434 · view on CMS
Show inspector's text

Loading…

Minor Coordinate Care Delivery

The agency failed to show coordination of care involving the patient, their representative, and their caregivers, as appropriate, in the development and coordination of frequency and duration of visits based on the patient’s needs for 3 of 17 patients (Patient #301, #303, #307).

Source: CMS Form 2567, inspection 2024-08-08, tag G0608 · view on CMS
Show inspector's text

Loading…

Minor Visit Schedule

The agency failed to provide the patient and caregiver with a written visit schedule consistent with the patient's most current plan of care for 17 of 17 patients (Patient #301, #302, #303, #304, #305, #306, #307, #308, #309, #310, #311, #312, #313, #314, #315, #316, #317).

Source: CMS Form 2567, inspection 2024-08-08, tag G0614 · view on CMS
Show inspector's text

Loading…

Minor Interdisciplinary Assessment Of The Patient

The agency failed to document interdisciplinary assessments as described in agency policy for 11 of 19 patients (Patient #301, #302, #304, #305, #310, #311, #312, #313, #314, #316, #317).

Source: CMS Form 2567, inspection 2024-08-08, tag G0706 · view on CMS
Show inspector's text

Loading…

Inspection 2021-10-14

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Licensing

The agency failed to implement policies and procedures consistent with state licensing requirements through failure to ensure credentials were current (Item # 1) and failure to ensure cardiopulmonary resuscitation (CPR) training was current (Item #2) for 1 of 8 staff (Staff #403).

Source: CMS Form 2567, inspection 2021-10-14, tag G0860 · view on CMS
Show inspector's text

Loading…

Minor Participate In Care

The agency failed to inform patients of all aspects of their plan of care, including the total frequency of the proposed services and the manner in which the agency will provide those care and services.

Source: CMS Form 2567, inspection 2021-10-14, tag G0434 · view on CMS
Show inspector's text

Loading…

Minor Rn Performs Assessment

The agency failed to conduct the initial assessment visit within the 48 hours of completing the referral for 7 of 17 patients (Patients #112, #113, #114, #117, #406, #408, #409) Failure to meet this requirement places patients at risk of physical harm due to not receiving services in a timely…

Source: CMS Form 2567, inspection 2021-10-14, tag G0514 · view on CMS
Show inspector's text

Loading…

Minor Verbal Orders

The agency failed to ensure that verbal orders for patient’s Start of Care (SOC) were authenticated and dated by the referring physician for 13 of 17 Patients (Patient #101, #102, #107, #113, #116, #117#, #403, #405, #406, #408, #409, #410, #411).

Source: CMS Form 2567, inspection 2021-10-14, tag G0584 · view on CMS
Show inspector's text

Loading…

Minor Coordinate Care Delivery

The agency failed to show coordination of care involving the patient, their representative, and their caregivers, as appropriate, in the development and coordination of frequency and duration of visits based on the patient’s needs for 14 of 17 Patients (Patient #101, #102, #107, #112, #113, #114…

Source: CMS Form 2567, inspection 2021-10-14, tag G0608 · view on CMS
Show inspector's text

Loading…