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
▼ 337143 Tender Loving Care Health Care Services Of Nassau Suffolk, Llc 1 Old Country Rd Carle Place NY 2 (New York) 01/25/2021 EQFF11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0706 Interdisciplinary assessment of the patient Element
G0718 Communication with physicians Element
G0984 In accordance with current clinical practice Element
▼ 337147 Nursing Sisters Home Care, Inc. 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 04/15/2025 65EA9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0534 Patient's needs 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
G0608 Coordinate care delivery Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
▼ 337147 Nursing Sisters Home Care, Inc. 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 08/29/2022 4F512-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 337147 Nursing Sisters Home Care, Inc. 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 04/22/2022 3895F-H1 Complaint, Focused Infection Control, 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
G0574 Plan of care must include the following Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
▼ 337148 North Shore University Hospital, Inc., D/B/A North Shore Home Care 972 Brush Hollow Road Westbury NY 2 (New York) 11/14/2024 649D3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
▼ 337165 Sullivan County Public Health Services Chha 50 Community Lane Liberty NY 2 (New York) 05/06/2022 38A66-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0029 Development of Communication Plan Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0650 Incidence, prevalence, severity of problems Element
▼ 337165 Sullivan County Public Health Services Chha 50 Community Lane Liberty NY 2 (New York) 05/22/2019 LCF411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0684 Infection control 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
▼ 337170 Assured Care Home Health, Llc 100-04 Ditmars Boulevard East Elmhurst NY 2 (New York) 10/19/2020 K0XH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
G0598 Discharge plans communication Element
▼ 337173 Hamilton Co Public Health Chha 139 White Birch Lane Po Box 250 Indian Lake NY 2 (New York) 07/08/2025 640AC-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0590 Promptly alert relevant physician of changes Element
▼ 337173 Hamilton Co Public Health Chha 139 White Birch Lane Po Box 250 Indian Lake NY 2 (New York) 08/28/2024 640AC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0574 Plan of care must include the following Element