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
▼ 337260 Tender Loving Care Health Care Services Of Nassau Suffolk, Llc 3237 Route 112, Building 6 Medford NY 2 (New York) 04/19/2019 5W6M11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0514 RN performs assessment 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
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 337262 Jamaica Acquisition Iii, Llc 3155 Grace Avenue Bronx NY 2 (New York) 11/07/2024 64A65-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337262 Jamaica Acquisition Iii, Llc 3155 Grace Avenue Bronx NY 2 (New York) 11/17/2021 37F37-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 337264 Tri-Borough Certified Health Systems Of New York, Llc 1414 Utica Avenue, 2nd Floor Brooklyn NY 2 (New York) 06/01/2026 66A34-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0372 Encoding and transmitting OASIS Standard
▼ 337264 Tri-Borough Certified Health Systems Of New York, Llc 1414 Utica Avenue, 2nd Floor Brooklyn NY 2 (New York) 07/10/2025 66A34-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0530 Strengths, goals, and care preferences 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
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
▼ 337264 Tri-Borough Certified Health Systems Of New York, Llc 1414 Utica Avenue, 2nd Floor Brooklyn NY 2 (New York) 01/22/2024 62063-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 337264 Tri-Borough Certified Health Systems Of New York, Llc 1414 Utica Avenue, 2nd Floor Brooklyn NY 2 (New York) 09/19/2019 OLX011 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337265 The Wartburg Home Of The Evangelical Lutheran Church 1 Wartburg Place, Hauselt Building, 1st Floor Mount Vernon NY 2 (New York) 10/07/2021 IDFC11 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
G0590 Promptly alert relevant physician of changes Element
G0984 In accordance with current clinical practice Element
▼ 337265 The Wartburg Home Of The Evangelical Lutheran Church 1 Wartburg Place, Hauselt Building, 1st Floor Mount Vernon NY 2 (New York) 10/16/2018 PJVZ11 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
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
▼ 337266 People Home Health Svs Chha 692 Millersport Hwy Buffalo NY 2 (New York) 04/09/2025 63A0E-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0544 Update of the comprehensive assessment Standard
G0520 5 calendar days after start of care Element
G0590 Promptly alert relevant physician of changes Element