← All inspection rules

G0812: Direct Observation Every 12 Months

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

73times cited
68agencies
17states
2018-02-15 – 2025-08-04survey dates

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

Titles in this dataset. CMS records use more than one title for this tag. The most common is shown above.
  • Direct Observation Every 12 Months · 71 citations
  • If Area Of Concern Is Noted · 2 citations

Where it was cited

Most recent citations

The 20 most recent of 73 citations. Newest inspection first.

Purpose Home Health LLC

No longer in CMS list
Inspection 2025-08-04

The agency failed to ensure a supervising RN conducted a direct observation of a home health aide, after concerns were identified related to Patient #1's fall, due to improper use of a mechanical lift, in 1 of 1 active clinical record reviewed with reported fall.

Open Arms Home Health Care - Des Moines, LLC

Inspection 2025-07-24

The agency failed to ensure a registered nurse completed home health aide supervision on-site annually while observing each home health aide providing direct patient care for 1 of 9 sampled home health aides hired prior to 2025. Failure to supervise home health aide services while the aides…

Kaiser Permenante Washington Home Health

Inspection 2024-01-16

The agency failed to provide documentation of an annual on-site visit while the Home Health Aide performs patient care.

D'first Home Care, Inc.

Inspection 2023-11-15

The provider failed to demonstrate a completed annual on-site visit for 1 out of 5 employee records reviewed.

Supportive Home Health Care, LLC

Inspection 2023-10-06

The agency failed to ensure documentation of an annual on-site visit to observe and assess the aide while performing care for 1 of 1 (Staff C) aides contracted by the agency, resulting in a lack of supervision and oversight of the care provided by this aide.

Americare Home Health Care Services Inc

No longer in CMS list
Inspection 2023-09-27

The agency failed to ensure that a registered nurse or other appropriate skilled professional made an annual on-site visit to the location where patients received care to observe and assess each aide while he or she performed care.

Angel Home Care Services Inc

Inspection 2023-06-28

The provider failed to make an annual on-site visit to the location where a patient is receiving care to observe and assess each aide while he or she is performing care for 3 out of 5 employee record review.

Alden Home Health, Inc

Inspection 2022-11-16

The Home Health Agency failed to ensure an annual observation and evaluation of the Home Health Aide (HHA) skills was conducted for one of seven sampled patients (Patient 5).

Specialized Nursing Services Inc

Inspection 2022-10-20

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 1 out of 2 employee record review.

Oroville Hospital

No longer in CMS list
Inspection 2022-03-23

The facility failed to make annual onsite supervisory visits to patients receiving Home Health Aide services.

Perfect Care Home Health Agency

Inspection 2021-11-04

The provider failed to make an annual on-site visit to the location where a patient is receiving care to observe and assess each aide while he or she is performing care for 2 out of 4 employee records reviewed.

Integral Home Health Agency, Inc.

Inspection 2021-10-14

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional made an annual on-site visit to the location where a patient is receiving care to observe and assess 2 out of 5 Home Health Aides (HHA).

Comfort Care Medicare Inc

Inspection 2021-08-12

The agency failed to ensure the documentation of annual on-site supervision to the location where the patient is receiving care in order to assess each home health aide while the aide is performing patient care for 2 of 2 sampled home health aides (Staff M and N) requiring annual on-site…

Diversified Home Health Care

Inspection 2021-07-16

The Agency failed to ensure the skilled discipline made an annual onsite observation visit at the patient's residence to observe the care being provided, by 1 of 2 Home Health Aides employed by this agency, whose file was reviewed, resulting in the potential for the provision of substandard care…

Michigan Home Health Services

Inspection 2021-04-23

The Agency failed to ensure the skilled discipline made an annual onsite observation visit at the patient's residence to observe the care being provided, by 1 (HHa #1) 1 Home Health Aide employed by this agency, who's file reviewed, resulting in the potential for the provision of substandard care…

Reflex Home Care, LLC

Inspection 2021-04-09

The Agency failed to ensure the skilled discipline made an annual onsite observation visit at the patient's residence to observe the care being provided, for 2 (HHa #1 and HHa #2) of 3 Home Health Aide files reviewed, resulting in the potential for the provision of substandard care and unmet care…

Mount Auburn Home Health

Inspection 2021-03-17

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional made an annual on-site visit to the location where a patient is receiving care in order to observe and assess a Home Health Aide (HHA).

Honest Home Care, Inc

Inspection 2021-02-11

The registered nurse failed to make an annual on-site supervisory visit to the location where the patient was receiving care along with the home health aide (Aide-A), to observe and assess the aide while performing care for 1 of 1 home health aide providing care, for a potential of an aide…

Dynamic Home Care, Inc

Inspection 2021-01-07

The registered nurse failed to make an annual on-site supervisory visit to the location where the patient was receiving care along with the home health aide to observe and assess the aide while performing care for 1 of 1 home health aide providing care (Aide-F), for a potential of an unqualified…

Angel Home Care Services Inc

Inspection 2020-10-07

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 3 out of 5 employee record review.

Not medical advice. Home Health Findings is independent and is not affiliated with or endorsed by CMS or any government agency.