Top 10 Home Care Deficiencies and How to Address Them
Last Updated January 2026
Home care organizations face compliance challenges related to service planning, infection control, and client rights. CHAP’s 2025 accreditation findings highlight the most common deficiencies and where organizations can strengthen oversight.
Deficiency Spotlight: Personal Care Service Plans
Service plans must clearly define tasks, reflect client involvement, and be followed consistently by aides. Missing updates or undocumented deviations often lead to deficiencies.
Quick Tip: Establish a clear process for aides to report changes and ensure responsible staff update service plans promptly.
Common Challenges and Solutions
- Service Plan Adherence: Educate aides to follow the current plan and document exceptions.
- Infection Control: Reinforce PPE use and standard precautions through observation, not just training.
- Client Rights: Confirm the Client Bill of Rights is complete, compliant, and provided at or before start of care.
Consistent supervision and documentation help close the gap between policy and practice.