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
▼ 337122 Nyc Health And Hospital Corporation 50 Water Street, 6th Floor New York NY 2 (New York) 08/13/2021 HVSN11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0544 Update of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
▼ 337122 Nyc Health And Hospital Corporation 50 Water Street, 6th Floor New York NY 2 (New York) 01/08/2020 VINQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 337122 Nyc Health And Hospital Corporation 50 Water Street, 6th Floor New York NY 2 (New York) 05/23/2019 S79Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 337136 County Of Lewis 7785 North State Street Lowville NY 2 (New York) 09/12/2024 642B7-H1 Recertification
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
E0007 EP Program Patient Population Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 337136 County Of Lewis 7785 North State Street Lowville NY 2 (New York) 11/21/2018 LJHH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
▼ 337140 The Dominican Sisters Family Health Service, Inc. 115 East Stevens Avenue, Suites 104 And 105 Valhalla NY 2 (New York) 07/30/2024 63C84-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0800 Services provided by HH aide Element
▼ 337140 The Dominican Sisters Family Health Service, Inc. 115 East Stevens Avenue, Suites 104 And 105 Valhalla NY 2 (New York) 07/23/2019 6RYK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 337143 Tender Loving Care Health Care Services Of Nassau Suffolk, Llc 1 Old Country Rd Carle Place NY 2 (New York) 12/01/2023 61569-H1 Complaint, Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0702 Services by skilled professionals Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
▼ 337143 Tender Loving Care Health Care Services Of Nassau Suffolk, Llc 1 Old Country Rd Carle Place NY 2 (New York) 03/09/2023 5F30D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
▼ 337143 Tender Loving Care Health Care Services Of Nassau Suffolk, Llc 1 Old Country Rd Carle Place NY 2 (New York) 01/04/2022 381ED-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element