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
▼ 337415 Lourdes At Home 4102 Old Vestal Road Vestal NY 2 (New York) 01/04/2022 37F96-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
▼ 337415 Lourdes At Home 4102 Old Vestal Road Vestal NY 2 (New York) 02/09/2021 QMCQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0484 Document complaint and resolution Element
▼ 337415 Lourdes At Home 4102 Old Vestal Road Vestal NY 2 (New York) 12/28/2018 FC9J11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
▼ 337416 Split Rock Rehabilitation And Health Care Center, Llc 3525 Baychester Avenue Bronx NY 2 (New York) 12/04/2025 1DD748-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0436 Receive all services in plan 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
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 337418 Marquis Certified Home Care, Llc 1762 Central Avenue Albany NY 2 (New York) 06/22/2023 6024F-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care 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
▼ 337418 Marquis Certified Home Care, Llc 1762 Central Avenue Albany NY 2 (New York) 10/26/2022 5E1E0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
▼ 337418 Marquis Certified Home Care, Llc 1762 Central Avenue Albany NY 2 (New York) 06/24/2021 2NZ711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 337418 Marquis Certified Home Care, Llc 1762 Central Avenue Albany NY 2 (New York) 03/01/2021 MWQZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1010 Contents of clinical record 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
G0726 Nursing services supervised by RN Element
▼ 337418 Marquis Certified Home Care, Llc 1762 Central Avenue Albany NY 2 (New York) 08/31/2020 WVRS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G1010 Contents of clinical record 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
G0726 Nursing services supervised by RN Element
▼ 337422 Datahr Home Health Care, Inc (Certified) 120 Kisco Avenue Mount Kisco NY 2 (New York) 09/21/2023 61141-H1 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