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
▼ 337173 Hamilton Co Public Health Chha 139 White Birch Lane Po Box 250 Indian Lake NY 2 (New York) 10/17/2018 TMXR11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 337177 Little Sisters Of The Assumption Family Health Services, Inc. 333 East 115th Street New York NY 2 (New York) 01/25/2018 RDIQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge 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
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 337181 Twin Tier Home Health, Inc 601 Riverside Drive Johnson City NY 2 (New York) 08/02/2024 63B8C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention 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
G0606 Integrate all services Element
▼ 337181 Twin Tier Home Health, Inc 601 Riverside Drive Johnson City NY 2 (New York) 07/09/2021 368D11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
▼ 337181 Twin Tier Home Health, Inc 601 Riverside Drive Johnson City NY 2 (New York) 07/20/2020 2QOV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
▼ 337181 Twin Tier Home Health, Inc 601 Riverside Drive Johnson City NY 2 (New York) 09/19/2018 K6TZ11 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
G0512 Standard: Initial assessment visit. Standard
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
▼ 337187 Nyu Langone Hospitals 1415 Kellum Place, Suite 120 Garden City NY 2 (New York) 11/01/2019 638V11 Recertification
Deficiency Tag Deficiency Description Tag Type
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
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0800 Services provided by HH aide Element
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 06/13/2024 6361A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0598 Discharge plans communication Element
G0718 Communication with physicians Element
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 09/01/2023 60EAE-H1 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
G0798 Home health aide assignments and duties Standard
G0862 Laboratory services/CLIA waivers 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
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 06/13/2023 600F7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0484 Document complaint and resolution Element
G0550 At discharge Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element