G0486: Protect Patient During Investigation
CMS level: Element Minor. 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 2026-10-20; CMS agency list file dated 2026-05-27. CMS source file. What the labels mean
Where it was cited
- Missouri11
- Minnesota10
- Iowa7
- Indiana5
- California4
- Michigan4
- Montana3
- New Mexico3
- Ohio3
- Connecticut2
- Wisconsin2
- Arizona1
- Kansas1
- Louisiana1
- Maine1
- Nevada1
- New York1
- Rhode Island1
- Utah1
- Wyoming1
Most recent citations
The 20 most recent of 63 citations. Newest inspection first.
Gmm Home Health Care, Inc
Failed to take actions to prevent further potential violations during an open complaint alleging possible neglect for one of seven sampled patients (Patient 1).
Divinity Home Care
The agency failed to have a system in place to record, track and investigate all complaints to prevent further potential violations for 3 (2023, 2024, and 2025) of 3 years reviewed, resulting in the potential for poor patient outcomes and unmet care needs.
Enhabit Home Health
The agency failed to produce documentation for each complaint received that showed the actions taken by the agency to remove any risks to the patient while the complaint was being investigated; failed to document an investigation was conducted; failed to record the findings; and failed to document…
Sefertt Health Care LLC
The home health agency (HHA) failed to conduct a thorough investigation for 1 of 1 patient (P1) reviewed.
Oswego Health Home Care, LLC
For 1 of 4 patients (patient #2), the home health agency did not take action to prevent further potential violations while the complaint was being investigated.
Around the Clock Home Care
The agency failed to ensure its policies and procedures on abuse prevention and patient complaints indicated the requirement to suspend staff accused of abuse while the complaint is being investigated.
Excelacare Home Health
The home health agency (HHA) failed to ensure the agency's grievance policy included the removal of an employee from direct patient care when involved in an abuse allegation until an investigation was complete.
Good Shepherd Home Health Services
The home health agency (HHA) failed to implement action to prevent further potential violations, including retaliation, while an allegation of abuse was being investigated for one (Patient (P) 8) of one patient record reviewed for a grievance with an allegation of abuse from a sample of four…
Aspire Home Healthcare of Arizona, Inc.
The facility has failed to produce documentation for each complaint received that confirms that an investigation was conducted and records the investigation findings as well as the ultimate resolution of the complaint.
Froedtert Holy Family Memorial Home Care
The agency failed to inform patient and/or patient's legal representatives of the complaint procedures that the agency must take action to prevent further potential violations, including retaliation while a complaint is being investigated in 1 of 1 home health admission booklets reviewed.
Wise Medical Staffing Inc
The facility failed to thoroughly investigate complaints.
Provident Home Healthcare
The agency failed to have systems in place to ensure patient protections for 2 of 4 patients (P3 and P4) reviewed following an allegation of verbal abuse.
Holistic Care Home Health
The agency failed to take action to prevent further potential violations while the complaint was being investigated for two of four sampled patients (Patient 1 and Patient 4) when: 1. Patient 1 filed a complaint about the agency not responding or sending a nurse out to re-insert a urinary catheter…
Carefocus Corporation
The agency failed to prevent further potential violations, including retaliation while a complaint was being investigated for 1 of 1 patient (P2).
Nursing Placement Home Health Care Services
The Home Health Agency failed to take action to prevent further potential violations while investigating an allegation of a sexual abuse regarding Patient ID #1. Findings are as follows: Record review of a community reported complaint reported to the Department of Health on 6/3/2024 alleges that…
Home Health Care 2000- Oakdale
The Provider failed to take action to prevent further potential violations, including retaliation, while a complaint is being investigated for 1 (Patient #1) or 1 patient involved in a complaint.
Allina Health Home Health
The agency failed to take action to prevent further potential violations to patients following allegations of sexual abuse for 1 of 1 patient (P1).
Bethesda Home Health
The agency failed to conduct a thorough investigation in response to an alleged misappropriation of patient's money for 1 of 1 patients (P8) reviewed.
International Quality Homecare
The facility failed to ensure a thorough investigation and ensure protection of patients during the investigation occurred for 2 of 3 patients (P20, P21) reviewed for allegations of misappropriation of property.
Tiffco CARE2 LLC
No longer in CMS listThe agency failed to ensure all patients were protected from potential harm and/or retaliation during investigation of a complaint of suspected injury, for 1 of 1 complaints of suspected injury reviewed.