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Sky Home Health Care Inc

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.
5026 Decatur Road, Fort Wayne, IN 46806
CMS Certification Number 15K205
10deficiencies since 2018
2serious
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 2025-02-14

· Initial Certification · 10 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The home health agency failed to comply with all applicable Federal, State and local emergency preparedness requirements (E0001); failed to develop an emergency plan that included strategies for addressing emergency events which were identified by the agencies Risk Assessment Analysis (E0006)…

Source: CMS Form 2567, inspection 2025-02-14, tag E0001 · view on CMS
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Serious Care Planning, Coordination, Quality Of Care

The home health agency failed to ensure orders were received from the physician prior to staff providing services (see G580), failed to ensure the POC was established and reviewed with the physician at SOC (see G588), failed to provide a written visit schedule to all patients (see G614), failed to…

Source: CMS Form 2567, inspection 2025-02-14, tag G0570 · view on CMS
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Moderate Infection Prevention

The home health agency failed to ensure all staff followed standard precautions and agency infection control procedures for 2 of 3 home visit observations (Patients #2, 3).

Source: CMS Form 2567, inspection 2025-02-14, tag G0682 · view on CMS
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Minor Only As Ordered By A Physician

The home health agency failed to ensure orders were received from the physician prior to staff providing services for 10 of 10 patient records reviewed (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10).

Source: CMS Form 2567, inspection 2025-02-14, tag G0580 · view on CMS
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Minor Reviewed, Revised By Physician Every 60 Days

The home health agency failed to ensure the POC was established and reviewed with the physician at SOC for 10 of 10 records reviewed (Patient #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10).

Source: CMS Form 2567, inspection 2025-02-14, tag G0588 · view on CMS
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Minor Visit Schedule

The home health agency failed to provide a written visit schedule to all patients for 3 of 3 home visit observations (Patients #1, 2, 3).

Source: CMS Form 2567, inspection 2025-02-14, tag G0614 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

The home health agency failed to provide all patients with a written copy of instructions including the clinical manager’s name and contact information for 3 of 3 home visit observations (Patients #1, 2, 3).

Source: CMS Form 2567, inspection 2025-02-14, tag G0622 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

The skilled nurse failed to conduct a thorough and complete assessment for 3 of 3 home visit observations (Patient #1, 2, 3).

Source: CMS Form 2567, inspection 2025-02-14, tag G0706 · view on CMS
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Minor Provide Services In The Plan Of Care

The skilled nurse failed to provide all services according to the plan of care for 1 of 1 records reviewed of a patient who was hospitalized (Patient #1) and 1 of 3 home visit observations (Patient #2).

Source: CMS Form 2567, inspection 2025-02-14, tag G0710 · view on CMS
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Minor Discharge And Transfer Summaries

The home health agency failed to submit a discharge summary to the physician within five days of discharge for 1 of 3 discharge records reviewed (Patient #6).

Source: CMS Form 2567, inspection 2025-02-14, tag G1022 · view on CMS
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