S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 327808 Sentry Home Health Care Llc 805 N. Richardson Ave Roswell NM 6 (Dallas) 01/05/2023 5E9C8-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0418 Patient's or legal representative's signature Element
G0514 RN performs assessment Element
▼ 327811 Genesis Home Health Care Llc 8500 Menaul Blvd Ne Ste B550 Albuquerque NM 6 (Dallas) 05/21/2024 63111-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 337003 Chemung Co Dept Health Chha 103 Washington Street Elmira NY 2 (New York) 03/21/2025 65A48-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 337003 Chemung Co Dept Health Chha 103 Washington Street Elmira NY 2 (New York) 12/08/2022 4EDF5-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0602 Communication with all physicians Element
▼ 337003 Chemung Co Dept Health Chha 103 Washington Street Elmira NY 2 (New York) 06/17/2022 4EDF5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0716 Preparing clinical notes Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 337003 Chemung Co Dept Health Chha 103 Washington Street Elmira NY 2 (New York) 07/26/2019 7WBB11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0440 Payment from federally funded programs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0800 Services provided by HH aide Element
G0984 In accordance with current clinical practice Element
▼ 337004 Cattaraugus County Department Of Health Chha 1 Leo Moss Drive Olean NY 2 (New York) 10/21/2024 61C53-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0798 Home health aide assignments and duties Standard
G0818 HH aide supervision elements Element
▼ 337004 Cattaraugus County Department Of Health Chha 1 Leo Moss Drive Olean NY 2 (New York) 01/03/2024 61C53-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0806 Supervision of home health aides Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0984 In accordance with current clinical practice Element
▼ 337004 Cattaraugus County Department Of Health Chha 1 Leo Moss Drive Olean NY 2 (New York) 11/30/2021 HYNY-H2 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0610 Patients receive education and training Element
▼ 337004 Cattaraugus County Department Of Health Chha 1 Leo Moss Drive Olean NY 2 (New York) 01/12/2018 VG7X11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0118 COMPLIANCE WITH FED, STATE, LOCAL LAWS Standard
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0144 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0173 DUTIES OF THE REGISTERED NURSE Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
G0186 THERAPY SERVICES Standard
G0225 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
G0337 DRUG REGIMEN REVIEW Standard