S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 337407 Advent Health Care Services Llc 419 Church Avenue Brooklyn NY 2 (New York) 06/12/2025 666A9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0412 Written notice of patient's rights Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
▼ 337408 Litson Certified Care, Inc., D/B/A Willcare 700 Corporate Boulevard Newburgh NY 2 (New York) 02/24/2022 3859B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 337408 Litson Certified Care, Inc., D/B/A Willcare 700 Corporate Boulevard Newburgh NY 2 (New York) 03/02/2021 9MEQ11 Complaint, Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0702 Services by skilled professionals Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0464 Advise the patient of discharge for cause Element
G0470 Document efforts to resolve problems 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
G0608 Coordinate care delivery Element
G1022 Discharge and transfer summaries Element
▼ 337408 Litson Certified Care, Inc., D/B/A Willcare 700 Corporate Boulevard Newburgh NY 2 (New York) 03/20/2018 6JZZ11 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
▼ 337413 The Rosalind & Joseph Gurwin Jewish Geriatric Center Of Long Island, Inc. 68 Hauppauge Road Commack NY 2 (New York) 02/14/2023 4EFE7-H2 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 337413 The Rosalind & Joseph Gurwin Jewish Geriatric Center Of Long Island, Inc. 68 Hauppauge Road Commack NY 2 (New York) 07/12/2019 61Z311 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
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
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G0822 Ensuring the overall quality of care provided Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 337414 Extended Nursing Personnel Chha, Llc 2003 Coney Island Avenue, 3rd Floor Brooklyn NY 2 (New York) 08/27/2025 1D55C3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 337414 Extended Nursing Personnel Chha, Llc 2003 Coney Island Avenue, 3rd Floor Brooklyn NY 2 (New York) 05/16/2025 66312-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
G0682 Infection Prevention Standard
G0528 Health, psychosocial, functional, cognition Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0614 Visit schedule Element
▼ 337414 Extended Nursing Personnel Chha, Llc 2003 Coney Island Avenue, 3rd Floor Brooklyn NY 2 (New York) 05/13/2024 63133-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 337415 Lourdes At Home 4102 Old Vestal Road Vestal NY 2 (New York) 11/01/2024 6499E-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
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
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element