Island Home Care
A home health agency in Key West, Florida 33040
1718 N Roosevelt Blvd, Key West, Florida 33040. (305) 735-4460.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 4of 5 quality of patient care rating
- 4of 5 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 Jun 5, 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 Jun 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.
Jun 5, 2025: recertification inspection1 deficiency
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Have A Confidential Clinical Record
The inspectors’ words, 549 words
“Have a confidential clinical record CFR(s): 484.50(c)(6) Have a confidential clinical record. Access to or release of patient information and clinical records is permitted in accordance with 45 CFR parts 160 and 164. This Element is not met as evidenced by: Based on observation, medical records reviewed, interviews, and policy reviewed, the agency failed to ensure transmission of confidential medical information was secured for 1(Patient #3) of 1 patient observed having confidential information transmitted. using an employee’s private cell phone. The agency failed to ensure confidential medical information was transmitted using a secured, encrypted device instead a staff member was observed using a private cell phone for transmitting. Policy reviewed revealed, the home health agency is a member of the LHC Group, Inc…A review of the Acceptable Use and Security, approved Policy Committee, revision date 4/01/22, policy number 13.2.001. Section: All LHCG information systems users shall…numbers: 12. Not text PHI, which is prohibited on company issued and personal mobile devices in an effort to mitigate risk of breach of protected health information. 13. Not take pictures of patients, patient’s wounds, patient’s information or patient’s location, which is prohibited on personal devices. Policy review of LHC Group, Inc…Confidentiality of Patient Information, Policy Committee, revision date 4/20/21, policy number 7.009. Purpose: To safeguard patient records against loss or unauthorized use and to establish standard for maintaining confidentiality of patient information. Policy: All patient’s medical record information will be maintained in a confidential manner. On 6/3/25, at 12:55 p.m., Registered Nurse (RN) Staff A, was observed during Patient #3’s home visit discussing the patient discharge process. RN Staff A explained the Notice of Medicare Non-Coverage form and proceeded to complete a section of the form. The Nurse was observed taking take a photograph of the form with her personal cellular phone and then transmitted the photograph. RN Staff A was interviewed and confirmed she used her personal phone which did not have an encrypted Agency App. RN Staff A said she covered the patient identification information was covered with her finger. On 6/5/25, at 8:50 a.m., the Executive Director (ED) was interviewed and said, “The agency allows the caregivers to use their personal phones to communication with the patient or their representative, for setting up schedules.” The ED confirmed text messaging on the employee personal phones do not go through an agency provided secured app. The home health agency gives their caregivers computer tablets for documentation. The ED said the tablets do not have a secure network to text forms. On 6/5/25, at 9:33 a.m., the ED said during an interview, “texted information should be documented in the patients record. Texted information should be noted on the nurses’ visit notes. I expect that is where the text information should be documented. That is how the agency would track and know what was texted and to whom.” Patient #3’s medical review revealed, a Health Insurance Portability and Accountability Act (HIPAA) Related Admission Agreement form signed on 4/18/25. A review of the section, “Texting You” revealed the patient checked, “No” to both not receiving text messages regarding visit dates and times, and not receiving patient protected health information, (PHI) via unsecured text. Review of RN Staff A’s 6/3/25, Visit Note Report failed to provide evidence of texting the patient’s Notice of Medicare Non-Coverage form.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 5, 2025 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Apr 2, 2012.
- 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, speech pathology, medical social services and home health aide 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?
- Af-Ch-Hh, LLC owns 100% directly since Jul 15, 2017.
- 4 owners or officers are people: Erin Graham (managing employee (on the payroll)); Sophia Thulin (managing employee (on the payroll)); Wendy Daigle (corporate director); Joshua Lee Proffitt (corporate officer).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Unitedhealth Group Incorporated | Owns 5% or more through other companies | 100% | Feb 22, 2023 |
| Af-Ch-Hh, LLC | Owns 5% or more directly | 100% | Jul 15, 2017 |
| LHC Group Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2018 |
| Almost Family, Inc. | Owns 5% or more through other companies | 100% | Jul 15, 2017 |
| National Health Industries, Inc. | Owns 5% or more through other companies | 100% | Jul 15, 2017 |
How do patients fare?
- CMS rates its quality of patient care 4 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (221 surveys completed): 86% rated it 9 or 10 out of 10, and 84% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
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 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 88.84% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 11.00% (same as the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.46% (same as the national rate) |
How does it compare nearby?
- Of the 11 agencies CMS’s data show serving patients in ZIP code 33040, where this agency’s office is, 9 have a quality of patient care rating; the middle one is 3 of 5, and this one is rated 4 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Island Home Care This home health agency | 4 |
| Medcare Home Health Services, Inc. | 2.5 |
| American Providers, Inc. | Not given |
| Baycare Home Care Inc. | 3.5 |
| Baycare Home Care Inc. | 3 |
| Goldencare Home Health Agency Inc. | 2.5 |
| The Roads Home Health Care Inc. | 2.5 |
| All Services Home Health Agency Inc. | 4.5 |
| Axis Health Systems LLC | 3 |
| Physical 4u Inc. | 1.5 |
| Safe Haven Medical Center Inc. | Not given |
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
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Replies
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Paid listing
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