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Ultra Health Home Care

(276) 596-95361113 Cedar Valley Drive, Cedar Bluff, VA 24609
CMS Certification Number 497611 · Proprietary · Medicare-certified since 07/13/2006
10deficiencies since 2018
0serious
2inspections
2.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-20; CMS agency list file dated 2026-05-27. What the labels mean

Inspection 2022-07-07

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Ep Training Program

The agency’s emergency preparedness plan failed to contain documentation initial and biennial emergency preparedness training was provided to all new and existing staff and individuals providing services under arrangement consistent with their expected role and failed to include documentation of…

Source: CMS Form 2567, inspection 2022-07-07, tag E0037 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The Registered Nurse (RN) failed to develop an individualized aide care plan for each patient.

Source: CMS Form 2567, inspection 2022-07-07, tag G0798 · view on CMS
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Inspection 2019-07-10

· Recertification · 8 deficiencies · CMS source report (PDF)
Moderate Ep Testing Requirements

The agency failed to conduct an additional emergency preparedness exercise to test their emergency plan at least annually.

Source: CMS Form 2567, inspection 2019-07-10, tag E0039 · view on CMS
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Minor Written Notice Of Patient'S Rights

The agency failed to ensure a written copy of the agency's transfer and discharge policies were provided to the patient at the time of admission for seven (7) of seven (7) clinical records in the survey sample. of patients admitted on or after 01/13/2018. (Clinical Records #'s: 1, 2, 3, 4, 5, 6…

Source: CMS Form 2567, inspection 2019-07-10, tag G0412 · view on CMS
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Minor Hha Administrator Contact Information

The agency's admission packet failed to contain the contact information for the home health agency's Administrator, specifically the Administrator's name.

Source: CMS Form 2567, inspection 2019-07-10, tag G0414 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The agency failed to ensure the agency advised the patients of the names, addresses and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides for seven (7) of seven (7) clinical records in the survey sample of patients admitted…

Source: CMS Form 2567, inspection 2019-07-10, tag G0446 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the patient's individualized plan of care included all required elements for seven (7) of seven (7) clinical records reviewed in the survey sample.

Source: CMS Form 2567, inspection 2019-07-10, tag G0574 · view on CMS
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Minor Name/Contact Information Of Clinical Manager

Agency staff failed to ensure patients were advised of the name and contact information of the Home Health Agency's clinical manager for seven (7) of seven (7) clinical records in the survey sample (Clinical Records #'s: 1, 2, 3, 4, 5, 6 and 7) Findings: Staff Interview: During the entrance…

Source: CMS Form 2567, inspection 2019-07-10, tag G0622 · view on CMS
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Minor Hh Aide Supervision Elements

The agency failed to ensure each home health aide supervisory visit conducted contained documentation the Registered Nurse evaluated each of the six (6) required elements to ensure aides furnished care in a safe and effective manner for three (3) of three (3) clinical records of patients with…

Source: CMS Form 2567, inspection 2019-07-10, tag G0818 · view on CMS
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Minor Discharge And Transfer Summaries

The agency failed to ensure a completed transfer summary was sent within two (2) business days of agency becoming aware of an unplanned transfer for one (1) of one (1) clinical record's in the survey sample with a documented transfer to an inpatient facility.

Source: CMS Form 2567, inspection 2019-07-10, tag G1022 · view on CMS
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