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Sampson Home 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.
518 Beaman Street, Clinton, NC 28328
CMS Certification Number 347064
5deficiencies 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 2018-02-22

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Update Of The Comprehensive Assessment

Staff interview the agency failed to assess Orthostatic blood pressures [blood pressure readings that assess a drop or change in blood pressure when changing positions, such as going from sitting to standing] for patient with history of frequent falls and history of blood pressure dropping when…

Source: CMS Form 2567, inspection 2018-02-22, tag G0544 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to include on the home health aide care plan/written instructions, the name and title of the skilled professional that prepared the home health aide care plan for 3 of 3 active patients with home health aide services [#12, 5 and 6]. Findings include: 1a.

Source: CMS Form 2567, inspection 2018-02-22, tag G0798 · view on CMS
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Moderate Authentication

Staff interview the agency failed to document communication with patient's son for 1 of 1 patients [#9]; and failed to document type of cleansing agent and type of dressing used for PICC [Peripherally Inserted Central Catheter] line dressing change for 1 of 1 patients with a PICC line [#10].…

Source: CMS Form 2567, inspection 2018-02-22, tag G1024 · view on CMS
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Minor A Review Of All Current Medications

Patient interview and staff interview the agency failed to review all of the medications the patients were currently taking and/or failed to identify discontinuation of medication during the comprehensive assessment for 2 of 5 patients visited in the home [#8, 9 and 5]. The findings include: Review…

Source: CMS Form 2567, inspection 2018-02-22, tag G0536 · view on CMS
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Minor Communication With All Physicians

Staff interview the agency failed to communicate with the physician in regards patient fall for 1 of 1 patients [#2]; and failed to coordinate care with the physician in regards to pain limiting patient's progress and in regards to lab results obtained by agency nurse for 1 of 1 patients [#4].…

Source: CMS Form 2567, inspection 2018-02-22, tag G0602 · view on CMS
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