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
▼ 337292 Qc-Medi New York, Inc. 11849 East Corning Road, Suite 108 Corning NY 2 (New York) 11/21/2022 5E4E3-H1 Complaint, Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
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
G0610 Patients receive education and training Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 337292 Qc-Medi New York, Inc. 11849 East Corning Road, Suite 108 Corning NY 2 (New York) 01/03/2020 UGH511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0520 5 calendar days after start 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
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0984 In accordance with current clinical practice Element
▼ 337299 Gamzel Ny, Inc 75 Vanderbilt Avenue, 3rd Floor Staten Island NY 2 (New York) 05/28/2025 6647C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient 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
▼ 337299 Gamzel Ny, Inc 75 Vanderbilt Avenue, 3rd Floor Staten Island NY 2 (New York) 01/09/2025 650F7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
▼ 337299 Gamzel Ny, Inc 75 Vanderbilt Avenue, 3rd Floor Staten Island NY 2 (New York) 09/18/2024 612A5-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 337299 Gamzel Ny, Inc 75 Vanderbilt Avenue, 3rd Floor Staten Island NY 2 (New York) 09/29/2023 612A5-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0612 Written instructions to patient include: Standard
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 337299 Gamzel Ny, Inc 75 Vanderbilt Avenue, 3rd Floor Staten Island NY 2 (New York) 10/09/2020 DQDV11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0458 Outcomes/goals have been achieved Element
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
G0598 Discharge plans communication Element
G0718 Communication with physicians Element
▼ 337401 Qc-Medi New York, Inc. 320 Ushers Road Ballston Lake NY 2 (New York) 11/16/2023 618A9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
▼ 337401 Qc-Medi New York, Inc. 320 Ushers Road Ballston Lake NY 2 (New York) 12/11/2020 59JQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0726 Nursing services supervised by RN Element
▼ 337401 Qc-Medi New York, Inc. 320 Ushers Road Ballston Lake NY 2 (New York) 01/12/2018 IL7R11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
G0236 CLINICAL RECORDS Standard