Spectrum Home Health Agency
A home health agency in Huntsville, Alabama 35816
1310 Pulaski Pike, Unit A, Huntsville, Alabama 35816. (256) 539-4457.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 2.5of 5 quality of patient care rating
- Not rated patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Dec 17, 2025: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Dec 2025. Most serious: Element-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Dec 17, 2025: recertification inspection1 deficiency
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A Review Of All Current Medications
The inspectors’ words, 625 words
“A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This Element is not met as evidenced by: Based on agency policy and procedure, observation, and interview, it was determined the agency failed to ensure medication reconciliation was performed on 2 of 3 Home Visits (HV), including HV # 1 and HV # 3. This had the potential to affect all patients served by the agency. Findings include: Policy: Medication Monitoring Policy Number: HHS.065 Policy Date: None Purpose: To define the ongoing medication monitoring process for the home care patient/client. Policy: .... The results of patient/client medication monitoring will be used to improve the patient’s/clients medication regime. The ongoing monitoring will occur in accordance with the established goal of therapy and be used to: a. Evaluate the continued use of a medication in this current regimen. b. Evaluate the patient/client adherence to the prescribed medication regimen. Standard Operating Procedures: 5. Medication reconciliation will be conducted by the nurse during all home visits, and a reconciled list of medications will be retained in the patient/client home. 2. HV # 3 was admitted to the agency on 11/21/2025 with a diagnosis of Chronic Systolic (Congestive) Heart Failure. A home visit was conducted on 12/17/25 at 10:00 AM with EI # 3, Home Health Aide. A comparison was made between medications observed in the home and the MP. The following discrepancy was found: 1. Lidocaine Patch 5% 700 mg (50 mg per gram), daily as needed was observed in the home and not listed on the MP. HV # 3 confirmed the patches were used as needed. An interview was conducted on 12/17/25 with EI # 1, who confirmed the agency failed to ensure medication reconciliation was performed. 1. HV # 1 was admitted to the agency on 7/24/23 with a diagnosis of Urinary Tract Infection. A home visit was conducted on 12/16/25 at 12:30 PM with Employee Identifier (EI) # 2, Physical Therapist. A comparison was made between medications observed in the home and the medication profile (MP). The following discrepancies were found: 1. Hydrocodone/Acetaminophen, 1 tablet as needed with fill date 12/4/25 was observed in the home and not listed on the MP. 2. Cyclobenzaprine 10 milligram (mg) tablet, three times a day as needed with fill date 11/6/25 was observed in the home and not listed on the MP. 3. Escitalopram 10 mg tablet, 1 tablet daily with fill date 10/20/25 was observed in the home and not listed on the MP. 4. Isosorbide Mononitrate 30 mg Extended Release (ER) tablet, 1 tablet daily with fill date 10/20/25 was observed in the home and not listed on the MP. 5. Metoprolol ER Succinate 25 mg, 1 tablet daily with fill date 10/20/25 was observed in the home and not listed on the MP. 6. Vitamin D3, 25 microgram (mcg) and Vitamin B12, 1000 mcg was observed in the home and not listed on the MP. HV # 1’s caregiver stated the patient started taking both vitamins about two months ago. 7. Wellbutrin XL 300 mg tablet ER, 1 tablet daily was observed on the MP and not observed in the home. HV # 1’s caregiver stated the Wellbutrin XL was discontinued last month. 8. Zofran 4 mg tablet, 1 tablet daily as needed was listed on the MP and not observed in the home. HV # 1’s caregiver stated it was discontinued a few months ago. An interview was conducted on 12/17/25 with EI # 1, Administrator, who confirmed the agency failed to ensure medication reconciliation was performed.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 17, 2025 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Oct 19, 1983.
- Ownership: proprietary (for profit).
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy and home health aide services.
- Doesn’t offer speech pathology and medical social services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- 9 owners or officers are people: Carleton Pyfrom (corporate officer); Carleton Pyfrom (managing employee (on the payroll)); Arthur Reeves (corporate director); Helen Walker (corporate director); Laura Hall (corporate director); Earl Gooding (corporate director); Harold Grayson (corporate director); Laquita Mims (corporate director); Samuel Soto (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
How do patients fare?
- CMS rates its quality of patient care 2.5 of 5.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Fewer than 70 patients completed the survey.”
- CMS compares it with the national rate: discharged to the community, worse.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 2.5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | Not rated |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 48.18% (worse than the national rate) |
How does it compare nearby?
- Of the 11 agencies CMS’s data show serving patients in ZIP code 35816, where this agency’s office is, 11 have a quality of patient care rating; the middle one is 4 of 5, and this one is rated 2.5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Spectrum Home Health Agency This home health agency | 2.5 |
| Amedisys Home Health of Huntsville | 4 |
| Huntsville Hospital Homecare | 3 |
| Centerwell Home Health | 5 |
| Aveanna Home Health | 4 |
| Prohealth Home Health, LLC | 4.5 |
| Madison Home Health Services, LLC | 3.5 |
| Alabama Department of Public Health Home Care | 3 |
| Centerwell Home Health | 4.5 |
| Enhabit Home Health | 3.5 |
| Adoration Home Health | 4.5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 24, 2026.
From the agency
The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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