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
▼ 337010 Ur Medicine Home Care, Certified Services, Inc 2180 Empire Boulevard Webster NY 2 (New York) 04/07/2022 38820-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
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
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
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
G0716 Preparing clinical notes Element
G0984 In accordance with current clinical practice Element
▼ 337010 Ur Medicine Home Care, Certified Services, Inc 2180 Empire Boulevard Webster NY 2 (New York) 12/24/2020 1YAC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0586 Review and revision of the plan of care Standard
G0528 Health, psychosocial, functional, cognition Element
G0602 Communication with all physicians Element
▼ 337010 Ur Medicine Home Care, Certified Services, Inc 2180 Empire Boulevard Webster NY 2 (New York) 01/29/2020 PC5T11 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
G0586 Review and revision of the plan of care Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return 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
G0598 Discharge plans communication Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
G0716 Preparing clinical notes Element
G0728 Rehab services supervised by PT, OT Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 337014 Visiting Nurse Service And Hospice Of Suffolk Inc 505 Main Street Northport NY 2 (New York) 05/03/2019 ZMK411 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0518 Completion of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0588 Reviewed, revised by physician every 60 days Element
G0606 Integrate all services Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 337019 Visiting Nurse Association Of Albany, Inc. 35 Colvin Avenue Albany NY 2 (New York) 05/09/2025 661F3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0726 Nursing services supervised by RN Element
▼ 337019 Visiting Nurse Association Of Albany, Inc. 35 Colvin Avenue Albany NY 2 (New York) 01/11/2023 4F0C4-H2 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0590 Promptly alert relevant physician of changes Element
▼ 337019 Visiting Nurse Association Of Albany, Inc. 35 Colvin Avenue Albany NY 2 (New York) 07/15/2022 4F0C4-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 337019 Visiting Nurse Association Of Albany, Inc. 35 Colvin Avenue Albany NY 2 (New York) 10/04/2019 LV4011 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337024 L. Woerner, Inc. 176 Us Oval, Suite 3 Plattsburgh NY 2 (New York) 06/02/2022 37F4A-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0590 Promptly alert relevant physician of changes Element
▼ 337024 L. Woerner, Inc. 176 Us Oval, Suite 3 Plattsburgh NY 2 (New York) 11/18/2021 37F4A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element