Medi Home Health Agency
A home health agency in Pulaski, Virginia 24301
141 East Main Street Suite 500, Pulaski, Virginia 24301. (540) 382-5637.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 3.5of 5 quality of patient care rating
- 3of 5 patient survey rating
- 2 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 Mar 26, 2025: a recertification inspection.
2 deficiencies cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 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.
Mar 26, 2025: recertification inspection2 deficiencies
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Within 48 Hours Of The Patient’S Return
The inspectors’ words, 216 words
“Within 48 hours of the patient’s return CFR(s): 484.55(d)(2) Within 48 hours of the patient’s return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests, or on physician or allowed practitioner - ordered resumption date; This Element is not met as evidenced by: Based on clinical record review and interview, it was determined the agency failed to conduct a timely resumption of care within 48 hours of a patient’s return home from a hospital admission of more than 24 hours for one (1) of one (1) patient who had a resumption of care whose clinical record was reviewed as part of the survey sample: (Clinical record for Patient: #3). The clinical record for patient #3 was reviewed for the certification of December 27, 2024 to February 24, 2025. The clinical record indicated the patient being transferred to the hospital on February 12, 2025 and was discharged home February 16, 2025. The resumption of care (ROC) was completed by the skilled nurse on February 20, 2025 (4 days later). On March 26, 2025 at 12 PM, Staff Member #7 revealed the agency failed to provide timely initiation of care. The agency failed to complete the ROC within 48 hours of the patient’s return home from the hospital.”
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Plan Of Care Must Include The Following
The inspectors’ words, 326 words
“Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient’s mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient’s risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This Element is not met as evidenced by: Based on a review of clinical records and interview it was determined the agency staff failed to ensure the plan of care contained the specific location of a wound and the order of the wound for one (1) of three (3) patients in the survey sample who had a wound: (Clinical record for Patient #4). The clinical record for patient #4 was reviewed for the recertification of November 03, 2024 to January 01, 2025. The plan of care indicated a primary diagnosis of lymphedema (swelling and accumulation of lymph fluid in legs). The clinical record indicated skilled nurse visited the patient one (1) time a week for six (6) weeks with Unna boot (multilayered elastic compression dressing with zinc oxide paste wrapped from the toes to the knees) to legs bilaterally at every visit. On March 26, 2025 at 12 PM, Staff Member #7 revealed the wound order did not get pushed to the new certification period. The plan of care failed to include the wound order and location(s).”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 26, 2025 | Recertification inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified home health agency since Oct 30, 2003.
- 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, medical social services and home health aide services.
- Doesn’t offer speech pathology.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- Medical Services of America Inc. owns 100% directly since Oct 29, 1993.
- Medical Services of America Inc. runs it.
- 6 owners or officers are people: Patrick W Jeffcoat (corporate officer); Patrick W Jeffcoat (corporate director); Patrick W Jeffcoat (managing employee (on the payroll)); Christina M Jeffcoat (corporate officer); Christina M Jeffcoat (corporate director); Sherry Covey (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| The Young Family Trust F/B/O Patrick Wayne Jeffcoat, Jr. | Owns 5% or more through other companies | 100% | Dec 7, 2020 |
| Medical Services of America Inc. | Owns 5% or more directly | 100% | Oct 29, 1993 |
| Medical Services of America Inc. | Runs it (operational or managerial control) | Oct 29, 1993 |
How do patients fare?
- CMS rates its quality of patient care 3.5 of 5.
- Patients rate it 3 of 5 in CMS’s patient survey (81 surveys completed): 78% rated it 9 or 10 out of 10, and 79% 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 | 3.5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 3 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 83.49% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 10.46% (same as the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 3.45% (same as the national rate) |
How does it compare nearby?
- Of the 13 agencies CMS’s data show serving patients in ZIP code 24301, where this agency’s office is, 13 have a quality of patient care rating; the middle one is 3 of 5, and this one is rated 3.5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Medi Home Health Agency This home health agency | 3.5 |
| Wythe Circle Home Care | 3 |
| Carilion Home Care Services | 3 |
| Amedisys Home Health Care | 4.5 |
| Centerwell Home Health | 4.5 |
| Advanced Health Services | 3.5 |
| Interim Healthcare - Christiansburg | 1.5 |
| Interim Healthcare | 3.5 |
| Enhabit Home Health (Roanoke) | 3 |
| Human Touch Home Health | 2 |
| Access Home Health Care and Rehabilitation | 2.5 |
| Valley Ridge Home Health | 2 |
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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