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St John's Home Care

(307) 739-7465555 East Broadway, Ste 115, Jackson, WY 83001
CMS Certification Number 537063 · Government Operated · Medicare-certified since 12/05/1990
12deficiencies since 2018
0serious
3inspections
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 2025-01-09

· Recertification · 1 deficiencies · CMS source report (PDF)
Minor In Accordance With Current Clinical Practice

The agency failed to ensure supplies available for patient use were not expired for 1 of 1 supply room.

Source: CMS Form 2567, inspection 2025-01-09, tag G0984 · view on CMS
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Inspection 2021-12-16

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Ep Program Patient Population

The facility failed to ensure the emergency plan addressed the patient population and the type of services the facility had the ability to provide in an emergency.

Source: CMS Form 2567, inspection 2021-12-16, tag E0007 · view on CMS
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Moderate Homebound Hha/Hospice Inform Ep Officials

The facility failed to ensure the emergency preparedness policies and procedures addressed a procedure to notify State and local emergency preparedness officials about home health patients in need of evacuation from their residences due to an emergency situation.

Source: CMS Form 2567, inspection 2021-12-16, tag E0019 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

The facility failed to ensure the emergency preparedness policies and procedures addressed a procedure to follow up with on-duty staff and patients to determine services that are needed in the event there is an interruption in services during an emergency.

Source: CMS Form 2567, inspection 2021-12-16, tag E0021 · view on CMS
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Moderate Names And Contact Information

The facility failed to ensure the communication plan included names and contact information for employees, entities providing services under arrangement, patients' physicians and volunteers.

Source: CMS Form 2567, inspection 2021-12-16, tag E0030 · view on CMS
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Moderate Infection Prevention

The facility failed to ensure point of care equipment was cleaned as required for 1 of 3 random observations.

Source: CMS Form 2567, inspection 2021-12-16, tag G0682 · view on CMS
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Moderate Licensing

The facility failed to ensure 1 of 1 home health aide (HHA #1) was credentialed in accordance with state law.

Source: CMS Form 2567, inspection 2021-12-16, tag G0860 · view on CMS
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Minor Development And Evaluation Of Plan Of Care

The facility failed to ensure the plan of care was developed in partnership with the patient (or representative) and caregiver(s) for 7 of 7 patients (#1, #2, #3, #4, #5, #6, #7).

Source: CMS Form 2567, inspection 2021-12-16, tag G0708 · view on CMS
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Inspection 2018-10-18

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Home Health Aide Assignments And Duties

The agency failed to ensure the HHA care plan included all pertinent information necessary for the care of the patient for 1 of 7 sample patients (#3).

Source: CMS Form 2567, inspection 2018-10-18, tag G0798 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure a list of patient medications was obtained and reviewed for potential adverse effects and drug reactions for 1 of 7 sample patients (#6).

Source: CMS Form 2567, inspection 2018-10-18, tag G0536 · view on CMS
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Minor Administrator Appointed By Governing Body

The agency failed to ensure the administrator was appointed by the governing body.

Source: CMS Form 2567, inspection 2018-10-18, tag G0946 · view on CMS
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Minor Ensures Qualified Pre-Designated Person

The agency failed to ensure a qualified and pre-designated staff member was selected to fill the administrator role if necessary.

Source: CMS Form 2567, inspection 2018-10-18, tag G0954 · view on CMS
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