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G0578: Conformance With Physician Orders

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

1,087times cited
925agencies
44states
2018-01-18 – 2024-03-28survey dates

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

Most recent citations

The 20 most recent of 1,087 citations. Newest inspection first.

Human Touch Home Health Care Agency Inc Pueblo

Inspection 2024-03-28

The agency failed to ensure care was provided according to each patient's individualized written plan of care and in conformance with physician orders, for 1 of 6 active patient records reviewed ordered to receive skilled nursing (SN) services (Patient #5).

Amedisys Home Health

Inspection 2024-03-21

For 1 of 17 patients (Pt #6), the nurse failed to follow the physician orders as received at the time of referral for services.

Hands of Wellness, Inc

Inspection 2024-03-21

In 2 of 7 (Pts. #5 and 6) clinical records reviewed, the Agency failed to ensure staff provide service, as ordered by the Physician and indicated in the POC.

Unicare Home Health System, Inc

Inspection 2024-03-21

The agency failed to ensure therapy services were provided as ordered by the physician for 2 (P-2, 7) of 2 records reviewed with occupational therapy referrals, and for 1 (P-1) of 1 records reviewed with speech therapy referral, resulting in the potential for physical decline and unmet care needs.

Dinamic Health Care, LLC

Inspection 2024-03-15

In 4 of 7 (Pts. #3, 7, 1 and 5) clinical records reviewed, the Agency failed to ensure staff provide service, as ordered by the Physician and indicated in the POC.

Bethesda Home Health

Inspection 2024-03-08

The agency failed to ensure medication set up was completed as ordered for 1 of 1 patient (P4) observed with medication set up.

Good Journey Home Health, LLC

No longer in CMS list
Inspection 2024-03-07

The agency failed to ensure SN frequencies were followed as ordered for two (Patients #2 and 4) of thirteen patients.

Immanuel Home Care Services, Inc

Inspection 2024-03-07

For 1 of 3 (Pt. #8) clinical records reviewed, wherein the Pt. is receiving wound care, the Agency failed to ensure Physician orders were followed.

Bayada Home Health Care Inc

Inspection 2024-03-06

The agency failed to follow the physician's order for wound care for 1 of 5 patients with a wound [#1]; and failed to report vital signs outside the given parameters for 1 of 1 patient with a VAD [vascular access device-type of catheter that provides access to blood vessels without the need for…

A Passionate Helping Hand Home Health Care LLC

Inspection 2024-03-05

The agency failed to conform with physician orders they had received, and delayed patient care by nine (9) days, in 1 of 8 active records reviewed.

USA Home Health Services

Inspection 2024-03-05

The provider failed to follow the physician's orders for frequency of visits and wound care for 1 of 3 patients (Patient #1).

Visiting Health Services of New Jersey

Inspection 2024-03-01

The facility failed to ensure that services ordered by the physician are provided as indicated in the plan of care.

Interim Healthcare of Tulsa, Inc.

No longer in CMS list
Inspection 2024-02-28

The agency failed to ensure SN frequencies were followed as ordered for four (Patients #1, 8, 9 and 10) of ten patients.

Medical Home Care Professionals

Inspection 2024-02-23

The agency failed to obtain verbal or written physician orders for Plans of Care for one out of 17 sampled patients, (Patient 6) in a timely manner after the patients were admitted for home health services.

North Idaho Home Health

Inspection 2024-02-23

The agency failed to follow physician orders for 1 of 17 patients (Patient #2) whose records were reviewed.

Lyfe Home Health

Inspection 2024-02-22

In 2 of 7 (Pts. #2 and 5) clinical records reviewed, the Agency failed to ensure staff provide service as ordered by the Physician, and indicated in the Plan of Care.

Alpha Homehealth of Okc LLC

Inspection 2024-02-21

The agency failed to ensure the assessment of wounds was provided as ordered for two (Patient #6 and 11) of 13 patients.

Amedisys Home Health Care

Inspection 2024-02-21

Staff interviews the agency failed to follow physician's orders on the Plan of care for 4 of 7 patients with diabetes [#1, 7, 16 and 20]; and failed to follow physician's orders on the Plan of Care related to wound care for 1 of 6 patients with a wound [#7]; and failed to follow physician's orders…

Ozarks Healthcare at Home, Home Health

Inspection 2024-02-21

The home health provider failed to ensure that the plan of care was followed in two of five full records reviewed (Records/Patients #3 and #5).

Retreat Health Care Services Inc

Inspection 2024-02-21

The agency failed to ensure skilled nursing followed the written POC for 1 (Patient # 3) of 7 records reviewed for physicians’ orders, in that: The agency did not ensure Patient #3’s weight was taken and documented at every skilled nurse visit.

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