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
▼ 337210 Calvary Hospital, Inc. 1740 Eastchester Road Bronx NY 2 (New York) 01/07/2026 1E03B6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0658 Performance improvement projects Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0620 Other pertinent instructions Element
G0710 Provide services in the plan of care Element
▼ 337211 Wellbound Ii, Llc 7424 13th Avenue Brooklyn NY 2 (New York) 09/26/2025 1D7DE4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0982 Skilled services furnished Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0598 Discharge plans communication Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 337212 Vns Ithaca Tompkins Co Chha 138 Cecil A Malone Drive Ithaca NY 2 (New York) 12/13/2023 61A09-H1 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
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337212 Vns Ithaca Tompkins Co Chha 138 Cecil A Malone Drive Ithaca NY 2 (New York) 01/14/2021 XMXO11 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
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
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
▼ 337212 Vns Ithaca Tompkins Co Chha 138 Cecil A Malone Drive Ithaca NY 2 (New York) 07/09/2020 3OSW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 337212 Vns Ithaca Tompkins Co Chha 138 Cecil A Malone Drive Ithaca NY 2 (New York) 02/07/2018 POIM11 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
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
▼ 337213 Parker Jewish Institute For Health Care And Rehabilitation 271-11 76th Avenue New Hyde Park NY 2 (New York) 09/19/2024 643BD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0436 Receive all services in plan of care Element
G0528 Health, psychosocial, functional, cognition 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
G1012 Required items in clinical record Element
▼ 337213 Parker Jewish Institute For Health Care And Rehabilitation 271-11 76th Avenue New Hyde Park NY 2 (New York) 10/06/2021 7V7E11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 337213 Parker Jewish Institute For Health Care And Rehabilitation 271-11 76th Avenue New Hyde Park NY 2 (New York) 10/26/2018 994R11 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
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G1016 Goals in the patient's plans of care Element
G1022 Discharge and transfer summaries Element
▼ 337218 Yertle Operations, Llc 22 Robert R Kasin Way Beacon NY 2 (New York) 07/12/2019 YYZ011 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0682 Infection Prevention 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