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Ray County Memorial Hospital Home Health and Hospice

No longer in CMS list This agency is not in CMS's current list of Medicare-certified home health agencies (file dated 2026-09-21), but it has federal inspection records. It may have closed, changed ownership, or changed its certification number. Address shown is from its inspection records.
904 Wollard Blvd, Richmond, MO 64085
CMS Certification Number 267154
6deficiencies since 2018
0serious
1inspections
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 2019-02-21

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency failed to follow accepted standards of practice for one (Record/Patient #3) of three patients observed during home visits.

Source: CMS Form 2567, inspection 2019-02-21, tag G0682 · view on CMS
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Minor Payment From Federally Funded Programs

The agency failed to provide written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of financial liability changes as soon as possible, in but not limited to, one (RECORD/PATIENT #4)…

Source: CMS Form 2567, inspection 2019-02-21, tag G0440 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

The agency failed to ensure effective ongoing interdisciplinary assessment of the patient.

Source: CMS Form 2567, inspection 2019-02-21, tag G0706 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to ensure that the skilled nurse (SN) provided services as ordered by the physician in the plan of care in, but not limited to one (Record/Patient #3) of five records reviewed.

Source: CMS Form 2567, inspection 2019-02-21, tag G0710 · view on CMS
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Minor Hh Aide Supervision Elements

The agency failed to ensure that the registered nurse (RN) evaluated the home health aide for all of the required supervision elements during the home health aide supervisory visits in one (Record/Patient #1) of one applicable record.

Source: CMS Form 2567, inspection 2019-02-21, tag G0818 · view on CMS
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Minor Discharge And Transfer Summaries

The home health director said: - Agency staff usually complete a discharge summary and fax to the physician within five days following discharge of the patient; and - The patient's paper record failed to show evidence that the discharge summary was went to the physician after discharged from the…

Source: CMS Form 2567, inspection 2019-02-21, tag G1022 · view on CMS
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