G0164: Periodic Review Of Plan Of Care
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
- California5
- New York2
- Arizona1
- Florida1
- Kentucky1
- Louisiana1
- Missouri1
- New Mexico1
- Nevada1
- Ohio1
- Oklahoma1
- Utah1
Most recent citations
Every citation of this tag in this dataset. Newest inspection first.
Advance Specialty Care, LLC
The Skilled Nurse (SN) failed to promptly alert the attending physician to the purplish hematoma on the left hand for 1 of 16 sample patients (Patient 11), that may require a change in the plan of care.
Montefiore Home
No longer in CMS listAgency policy and procedure the agency failed to notify the physician for a change of status for two patients (#1 and #9) of 12 patients reviewed for physician notification.
Centerwell Home Health
Failure to notify the physician of measurements outside of the established parameters has the potential to result in unmet patient needs and negative patient outcomes.
In Home Care Group, LLC
The agency failed to alert the physician of changes which suggested a need to alter the plan of care for two of 10 sampled patients (4 and 5).
Golden Angels Home Health Care
The agency failed to notify the physician for changes in condition for two of ten sampled patients (Patients 2, 3, 5, 7 and 8), and one of five randomly sampled (Patient 14) when: 1. For Patient 2, staff did not notify the physician regarding shortness of breath with activity.
Lifeline of Jackson Purchase Home Health
The facility failed to alert the physician of a fall for one (1) of thirteen (13) sampled patients (Patient #8).
Premier Home Health Care Services, Inc.
No longer in CMS listThe agency failed to ensure that each patient's physician was notified of any changes in the patient's condition, This was evident for two (2) of thirteen (13) clinical records reviewed (Patients: #8, and #13).
Vitalcaring Group
The agency failed to ensure that staff promptly alert the physician of any changes that suggest a need to alter the patient's plan of care as evidenced by staff not alerting the physician that patient #6 was having nausea and vomiting for 1 (#6) out of 12 sampled patients.
Apex Home Healthcare
No longer in CMS listThe agency failed to promptly alert the physician to changes in the Plan of Care for 1 of 11 sampled patients.
Espanola Hospital Home Health
No longer in CMS listThe agency failed to notify the physician of the need to alter the care plan for three (patients #4, 5 and 11) of 12 patients.
Interim Health Care
The Administrator failed to document evidence that 2 of 2 patients (#s 8 and 9) that received Certified Nursing Assistant (CNA) services followed a written plan of care (POC) established by the physician.
Mission Home Health Palm Desert
The Home Health Agency (HHA) failed to ensure the physician was promptly notified regarding a significant worsening condition of Patient 1's pressure sore on the coccyx (tailbone).
Atlas Home Care
The home health agency (HHA) did not ensure that the physician was alerted to any changes that suggested a need to alter the plan of care for 1 of 7 patients.
Ssm Health at Home Home Health-St. Louis
The agency failed to notify the physician of changes in the patient's needs and/or follow-up with the physician to determine if changes to the plan of care (POC) were indicated in one (RECORD/PATIENT #4) of five records reviewed.
Cohesive Healthcare
The agency failed to ensure staff notified the physician of changes in a patient condition which could necessitate a need to change the plan of care regarding: 1. Weight loss for one (Pt #2) of ten patients and 2. Weight gain for one (Pt #9) of three patients.
Optimal Home Health
The Skilled Nurse (SN) failed to promptly alert the attending physician to changes in condition that suggest the need to alter the plan of care for 1 of 16 sample patients (Patient 6).