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Team Select Home Care

(603) 893-921412 Stiles Road, Salem, NH 03079
CMS Certification Number 307088 · Proprietary · Medicare-certified since 02/27/2014
13deficiencies since 2018
2serious
3inspections
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 2025-11-25

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Plan Based On All Hazards Risk Assessment

The facility failed ensure their overall E.P.P. policies and procedures were based on/compared with a review of the official community/regional risk assessment to include un-foreseen potential emergency events.

Source: CMS Form 2567, inspection 2025-11-25, tag E0006 · view on CMS
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Moderate Local, State, Tribal Collaboration Process

The facility failed to ensure the E.P.P. was developed with cooperation, collaboration, or input with/from any emergency management officials familiar with the geographic/regional locations or efforts to maintain an integrated response during an emergency situation.

Source: CMS Form 2567, inspection 2025-11-25, tag E0009 · view on CMS
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Moderate Homebound Hha/Hospice Inform Ep Officials

The facility failed to ensure that policies and procedures were developed to inform emergency officials of clients in need of emergency evacuation or assistance.

Source: CMS Form 2567, inspection 2025-11-25, tag E0019 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

The facility failed to ensure that agreements with other health care providers are arranged to ensure continuity of care for clients in the event the facility has an un-foreseen emergency/disaster event that prevents care being provided.

Source: CMS Form 2567, inspection 2025-11-25, tag E0021 · view on CMS
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Moderate Emergency Officials Contact Information

The facility failed to ensure the E.P.P. emergency contact information list included all the required local, Regional, State, and/or Federal emergency management officials.

Source: CMS Form 2567, inspection 2025-11-25, tag E0031 · view on CMS
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Inspection 2022-10-27

· Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2019-12-16

· Recertification · 8 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The facility failed to have a facility specific emergency plan for 20 out of the 21 required elements of the E.P.P. for Home Health Agencies (H.H.A.) at CFR part 484.102. Findings include: Record review of the facilities 10 E.P.P. binders on 12/13/2019 between 8:30 a.m. and 12:30 a.m. with Staff A…

Source: CMS Form 2567, inspection 2019-12-16, tag E0001 · view on CMS
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Serious Patient Rights

The agency failed to protect patient rights, failed to promote the exercise of patient rights, and failed to provide services by not initiating CPR (Cardio Pulmonary Resuscitation, a medical procedure involving repeated compression of a patient's chest, performed in an attempt to restore the blood…

Source: CMS Form 2567, inspection 2019-12-16, tag G0406 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

The Home Health Agency failed to develop an emergency plan.

Source: CMS Form 2567, inspection 2019-12-16, tag E0004 · view on CMS
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Moderate Development Of Communication Plan

The Home Health Agency (HHA) failed to develop an emergency preparedness communication plan.

Source: CMS Form 2567, inspection 2019-12-16, tag E0029 · view on CMS
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Moderate Ep Training And Testing

The Home Health Agency (HHA) failed to develop an emergency preparedness training and testing program.

Source: CMS Form 2567, inspection 2019-12-16, tag E0036 · view on CMS
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Minor Receive All Services In Plan Of Care

The agency failed to ensure that a patient who had chosen to be a full code received all services for CPR (Cardio Pulmonary Resuscitation-a medical procedure involving repeated compression of a patient's chest, performed in an attempt to restore the blood circulation and breathing of a person who…

Source: CMS Form 2567, inspection 2019-12-16, tag G0436 · view on CMS
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Minor Hha Can No Longer Meet The Patient'S Needs

The agency failed to demonstrate that they arranged a safe and appropriate transfer to other care entities when the needs of the patient exceeded the HHA's capabilities for 1 patient out of a survey sample of 7 patients.

Source: CMS Form 2567, inspection 2019-12-16, tag G0454 · view on CMS
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Minor Communication With Physicians

The facility failed to communicate with all physicians and/or other health care practitioners (as appropriate) related to the current plan of care for one patient in a survey sample of 7 patients.

Source: CMS Form 2567, inspection 2019-12-16, tag G0718 · view on CMS
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