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
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 01/24/2025 653FB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0598 Discharge plans communication Element
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
G0962 Coordinate patient care Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 11/21/2024 64B12-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0716 Preparing clinical notes Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 09/24/2024 64444-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0478 Investigate complaints made by patient Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0718 Communication with physicians Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 03/01/2024 625FA-H1 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
G0434 Participate in care Element
G0464 Advise the patient of discharge for cause 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
G0616 Patient medication schedule/instructions Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G1012 Required items in clinical record Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 06/15/2023 60197-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 11/10/2022 5E537-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0598 Discharge plans communication Element
G1014 Interventions and patient response Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 10/12/2022 5DEEF-H1 Complaint, Focused Infection Control
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0608 Coordinate care delivery Element
▼ 337290 Americare Certified Special Services, Inc. 5923 Strickland Avenue Brooklyn NY 2 (New York) 04/19/2018 YXO611 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0976 Services under arrangement Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 337292 Qc-Medi New York, Inc. 11849 East Corning Road, Suite 108 Corning NY 2 (New York) 09/12/2025 1D6B5C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data 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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
G0716 Preparing clinical notes Element
▼ 337292 Qc-Medi New York, Inc. 11849 East Corning Road, Suite 108 Corning NY 2 (New York) 11/08/2023 5E4E3-H2 Complaint, Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0520 5 calendar days after start of care Element