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
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 09/29/2022 4F811-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0434 Participate in care Element
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 09/18/2020 92JQ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following 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) 03/04/2020 V48611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 01/29/2020 M48X11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 337189 Royal Care Certified Home Health Care, Llc 30-50 Whitestone Expressway, Suite 304 Flushing NY 2 (New York) 06/04/2018 BMSF11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0434 Participate in care Element
G0484 Document complaint and resolution Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 337190 Prime Home Health Services, Llc 3125 Emmons Avenue Brooklyn NY 2 (New York) 08/20/2025 1D4B38-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337190 Prime Home Health Services, Llc 3125 Emmons Avenue Brooklyn NY 2 (New York) 05/02/2022 38A18-H1 Complaint, Focused Infection Control
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 337198 Guthrie Cortland Medical Center 4005 West Road Cortland NY 2 (New York) 11/12/2019 BW7J11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
▼ 337199 St Camillus Home Care Agency 813 Fay Rd Syracuse NY 2 (New York) 10/29/2020 KYRO11 Focused Infection Control, Other-Fed, 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
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
▼ 337199 St Camillus Home Care Agency 813 Fay Rd Syracuse NY 2 (New York) 03/11/2019 KQFS11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element