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
▼ 337118 County Of Essex 132 Water Street Elizabethtown NY 2 (New York) 06/20/2019 BQ3F11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 06/24/2024 6187D-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0478 Investigate complaints made by patient Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 11/15/2023 6187D-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
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
G0606 Integrate all services Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 04/01/2022 3861F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
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
G0606 Integrate all services Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 05/10/2021 JYQ511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 12/17/2020 K40D11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0526 Content of the comprehensive assessment Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 09/27/2019 DURH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0958 Clinical manager Standard
G0514 RN performs assessment Element
G0966 Assure patient needs are continually assessed Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 11/27/2018 FZ4K11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 337119 L. Woerner, Inc. 4 Adler Dr, Suite 2 East Syracuse NY 2 (New York) 03/28/2018 QBJY11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment 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
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
▼ 337122 Nyc Health And Hospital Corporation 50 Water Street, 6th Floor New York NY 2 (New York) 07/15/2024 63A24-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0802 Duties of a HH aide Element
G0808 Onsite supervisory visit every 14 days Element