E0023: Policies/Procedures For Medical Documentation
CMS level: Standard Moderate. On this site, a condition-level citation is labeled Serious, a standard-level citation Moderate, and an element-level citation Minor. What the labels mean · How to choose an agency
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. CMS source file. What the labels mean
Where it was cited
- Virginia25
- California24
- Florida20
- Nevada16
- Minnesota13
- Iowa10
- Puerto Rico8
- Indiana7
- Missouri7
- Illinois6
- Ohio6
- New Mexico5
- Oklahoma4
- Wisconsin4
- Kansas3
- Massachusetts3
- Michigan3
- Pennsylvania3
- South Carolina3
- Alaska2
- West Virginia2
- District of Columbia1
- Louisiana1
- Maryland1
- Maine1
- Montana1
- New Hampshire1
- New York1
- Washington1
Most recent citations
The 20 most recent of 182 citations. Newest inspection first.
Town and Country Home Health Care
The facility failed to assure availability of emergency packets to be used in the event of an emergency evacuation of the patient from their residence.
Gfk Home Health Care
The agency failed to ensure the agency’s emergency preparedness P&P addressed a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.
Amberkare Home Health, Inc
The agency failed to ensure the emergency preparedness P&P included a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.
Venerate Home Health Express, LLC
The agency failed to ensure that the Emergency Preparedness Plan had policies and procedures for patient data management and information sharing for all patients and employees.
Luxe Home Health LLC
The agency failed to ensure that the Emergency Preparedness Plan had policies and procedures related to patient data management and information sharing for all patients and employees.
All About Caring Home Health Care, LLC
The agency failed to ensure that the Emergency Preparedness Plan had policies and procedures related to patient data management and information sharing for all patients and employees.
Home Health Care Solutions, Inc
The agency failed to ensure that the current patient roster contained the required acuity level (a system of classifying patients according to the urgency of their medical needs during an emergency) for each patient and was readily available to support continuity of care during an emergency in…
Home Health Care Inc
The agency failed to maintain updated policies and procedures to maintain a system of for medical documentation that secured and maintained the availability of patient information.
Hometown Home Healthcare Inc
No longer in CMS listThe home health agency failed to develop and implement EP policies and procedures which indicated the agency’s system of medical documentation during an emergency, which had the potential to affect all active patients.
Pediatric Plus Home Healthcare Services LLC
No longer in CMS listThe agency failed to create and put into effect policies and procedures addressing the medical record documentation process the agency has adopted to preserve, secure, and maintain patient records during an emergency for 1 of 1 home health agency.
Sheme Home Healthcare Agency, Inc
The Home Health Agency (HHA) failed to develop and implement policies and procedures to address a system for medical documentation that preserves the patients’ information, confidentiality of the patients’ information and secures and maintains the availability of the patients’ records.
Personal Care Concepts Inc
No longer in CMS listThe home health agency failed to develop and implement EP policies and procedures which addressed the use of volunteers in an emergency or other emergency staffing strategies, with the potential to affect all agency patients and staff.
Good Shepherd Home Health Services
The home health agency (HHA) failed to develop a policy that addressed a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records during a disaster.
Salud Integral En la Montana Inc
The facility failed to have policies and procedures describing the system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains the availability of records.
Dayspring Healthcare Services, Inc
The Agency lacked policies and procedures concerning the availability of Pt. information.
Premier Home Health, Inc
The agency failed to ensure the EPP, and policies identified a system of medical documentation that preserved patient information, protected confidentiality of patient information, and secured and maintained availability of medical records.
Adoration Home Health
The agency failed to develop a system of medical documentation that preserves patient information, protects the confidentiality of patient information, and secures and maintains the availability of medical records in an emergency situation for 1 of 1 agency.
Riderwood Village, Inc.
The facility failed to review and update its emergency preparedness policies and procedures within the required two-year timeframe to ensure compliance with federal regulations and effective emergency management.
Network Providers for Home Health, Inc
The agency failed to ensure the HHA's emergency preparedness P&P addressed a system of medical documentation that secured and maintained availability of records during the emergency.
Simplifi Home Health LLC
No longer in CMS listThe agency failed to ensure administrative policies and procedures related to Emergency Preparedness Plan patient data management were in place for all patients and employees.