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
▼ 337431 Fort Tryon Rehabilitation And Health Care Facility, Llc 3525 Baychester Avenue Bronx NY 2 (New York) 10/21/2020 Y78311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
▼ 337432 Preferred Certified, Llc 5223 Broadway Bronx NY 2 (New York) 05/27/2022 4EBBD-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0982 Skilled services furnished Standard
G0414 HHA administrator contact information Element
G0984 In accordance with current clinical practice Element
▼ 337434 Fsnr Chha, Llc 1535 Rockaway Parkway Brooklyn NY 2 (New York) 02/06/2025 6551C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
G0984 In accordance with current clinical practice Element
▼ 337436 Alpine Home Health Care, Llc 4770 White Plains Road Bronx NY 2 (New York) 09/14/2023 6104E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care 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
G0716 Preparing clinical notes Element
▼ 337436 Alpine Home Health Care, Llc 4770 White Plains Road Bronx NY 2 (New York) 09/18/2020 E2R311 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
G0598 Discharge plans communication Element
G0620 Other pertinent instructions Element
G0802 Duties of a HH aide Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337438 Extraordinary Home Care 333 Earle Ovington Boulevard Uniondale NY 2 (New York) 05/04/2023 5FBB9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0580 Only as ordered by a physician Element
▼ 337438 Extraordinary Home Care 333 Earle Ovington Boulevard Uniondale NY 2 (New York) 08/15/2022 4F3DC-H1 Complaint, Focused Infection Control, 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
G0598 Discharge plans communication Element
▼ 337438 Extraordinary Home Care 333 Earle Ovington Boulevard Uniondale NY 2 (New York) 08/16/2019 77GH11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
▼ 337438 Extraordinary Home Care 333 Earle Ovington Boulevard Uniondale NY 2 (New York) 05/29/2019 PU3U11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0806 Supervision of home health aides Standard
▼ 337439 A & T Certified Home Care, Llc 337 North Main Street, Suite 9-A New City NY 2 (New York) 10/27/2022 5E21B-H1 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
G0590 Promptly alert relevant physician of changes Element