← All agencies in Mount Ayr, IA · Iowa

Ringgold County (Board of Health)

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.
109 W Madison Street, Mount Ayr, IA 50854
CMS Certification Number 167057
7deficiencies 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 2020-10-22

· Focused Infection Control, Other-Fed, Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Hha Comprehensive Assessment In Disaster

The home health agency failed to ensure the clinical record included documentation of a review of the patient's individualized emergency plan with each comprehensive assessment for 2 of 7 sampled patients (Patients #2 and 7).

Source: CMS Form 2567, inspection 2020-10-22, tag E0017 · view on CMS
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Minor Written Notice Of Patient'S Rights

The agency failed to ensure home health patients received a copy of the agency's transfer policy for 4 of 4 sampled patients admitted since the home health regulation change to include written notice to patients of the transfer policy, effective 1/13/18. The agency reported a census of 43 patients…

Source: CMS Form 2567, inspection 2020-10-22, tag G0412 · view on CMS
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Minor All Orders Recorded In Plan Of Care

The agency failed to update the Plan of Care with all new physician orders in a timely manner for 3 of 6 sampled patients with interim/verbal orders.

Source: CMS Form 2567, inspection 2020-10-22, tag G0576 · view on CMS
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Minor Services Provided By Hh Aide

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services (Patient…

Source: CMS Form 2567, inspection 2020-10-22, tag G0800 · view on CMS
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Minor Aides Are Members Of Interdisciplinary Team

The agency failed to ensure home health aides reported patient concerns to a registered nurse for 1 of 3 sampled patients receiving home health aide services (Patient #1).

Source: CMS Form 2567, inspection 2020-10-22, tag G0804 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 1 of 2 sampled patients who received hands on personal care services from a home health aide in conjunction with a skilled service provision…

Source: CMS Form 2567, inspection 2020-10-22, tag G0808 · view on CMS
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Minor Interventions And Patient Response

The agency failed to ensure the patient's clinical record included documentation of all interventions and/or maintained a current record of those interventions, including treatments, services and responses to those interventions provided by the agency for 4 of 7 sampled patients (Patients #1, #3…

Source: CMS Form 2567, inspection 2020-10-22, tag G1014 · view on CMS
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