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Three Star Home Health Agency Inc

(214) 339-5042407 N Cedar Ridge Dr. Ste 325, Duncanville, TX 75116
CMS Certification Number 679380 · Proprietary · Medicare-certified since 11/25/2003
6deficiencies since 2018
0serious
2inspections
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 2026-06-04

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

Inspection 2023-05-23

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Develop Ep Plan, Review And Update Annually

This is a continuing deficiency cited at E 0004 during survey dated 09/09/2020. Based on record review and interview, the agency failed to comply with all applicable Federal, State, and local emergency preparedness requirements, in that the agency failed to maintain a comprehensive emergency…

Source: CMS Form 2567, inspection 2023-05-23, tag E0004 · view on CMS
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Moderate Written Instructions To Patient Include:

This is a continuing deficiency cited at G 0612 during survey date 09/09/2020. Based on record review, observations, and interviews the agency failed to provide the patient and caregiver written instruction outlining visit schedules with frequency and medication schedule/instructions.

Source: CMS Form 2567, inspection 2023-05-23, tag G0612 · view on CMS
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Moderate Performance Improvement Projects

This is a continuing deficiency cited at G 0658 during survey dated 09/09/2020. Based on record review and interview, the agency failed to conduct and document Performance Improvement Projects for the calendar years 2020, 2021 and 2022 (three of three years reviewed), that reflected the scope…

Source: CMS Form 2567, inspection 2023-05-23, tag G0658 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The sample packet did not include the names, addresses, and telephone numbers of the following federally funded and state-funded entities that serve the area where the patients resided: Agency on Aging; Center for Independent Living; Protection and Advocacy Agency, and Aging and Disability Resource…

Source: CMS Form 2567, inspection 2023-05-23, tag G0446 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the individualized plan of care included all required elements, for seven (Patients # 1, #2, # 3, # 5, # 6, # 7 and # 8) of seven active records reviewed and for one (Patient # 11) of one inactive record reviewed.

Source: CMS Form 2567, inspection 2023-05-23, tag G0574 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to promptly alert the relevant physician of changes in the patient's needs that suggested outcomes were not being achieved and/or that the plan of care should be altered: in that two (Patients # 2 and # 3) of three active patients whose records were reviewed, with physician’s…

Source: CMS Form 2567, inspection 2023-05-23, tag G0590 · view on CMS
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