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
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 07/11/2023 605A5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 09/20/2022 4F715-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 03/01/2022 3860E-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
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 02/12/2021 9FIY11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0476 Investigation of complaints Standard
G0572 Plan of care Standard
G0484 Document complaint and resolution Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 09/23/2020 J3XV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0802 Duties of a HH aide Element
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 01/23/2020 GF2N11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0438 Have a confidential clinical record Element
▼ 337243 Hcs Certified Home Care Ny, Inc. 2003 Coney Island Avenue Brooklyn NY 2 (New York) 03/09/2018 ERCO11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0374 Accuracy of encoded OASIS data Standard
G0476 Investigation of complaints Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications 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
G0584 Verbal orders Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 337246 Ogl Holdings, Llc 1400 Old Country Road Westbury NY 2 (New York) 12/16/2022 5E8B2-H1 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
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 337246 Ogl Holdings, Llc 1400 Old Country Road Westbury NY 2 (New York) 01/10/2020 18JI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337246 Ogl Holdings, Llc 1400 Old Country Road Westbury NY 2 (New York) 04/05/2018 7O7P11 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