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
▼ 337439 A & T Certified Home Care, Llc 337 North Main Street, Suite 9-A New City NY 2 (New York) 12/13/2019 994K11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 337440 Shining Star Home Care, Llc 6024 14th Avenue Brooklyn NY 2 (New York) 04/30/2026 230F4C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0434 Participate in care Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
▼ 337440 Shining Star Home Care, Llc 6024 14th Avenue Brooklyn NY 2 (New York) 12/22/2025 1DF2B9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0798 Home health aide assignments and duties Standard
G0436 Receive all services in plan of care Element
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs 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
G0592 Revised plan of care Element
G0754 A qualified HH aide successfully completed: Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 337441 Prospect Acquisition Iii, Llc 1000 Gates Avenue, 4th Floor Brooklyn NY 2 (New York) 12/29/2025 1DF930-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0428 Property and person treated with respect Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
▼ 337441 Prospect Acquisition Iii, Llc 1000 Gates Avenue, 4th Floor Brooklyn NY 2 (New York) 04/03/2025 65CED-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
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
▼ 337441 Prospect Acquisition Iii, Llc 1000 Gates Avenue, 4th Floor Brooklyn NY 2 (New York) 09/01/2021 TY8411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
▼ 337441 Prospect Acquisition Iii, Llc 1000 Gates Avenue, 4th Floor Brooklyn NY 2 (New York) 07/12/2019 C5MH11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0522 Eligibility for Medicare home health benefit 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
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
▼ 337442 Northern Lights Health Care Partnership, Inc. 8101 State Hwy 68 Ogdensberg NY 2 (New York) 05/09/2025 661CF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
G0610 Patients receive education and training Element
▼ 337442 Northern Lights Health Care Partnership, Inc. 8101 State Hwy 68 Ogdensberg NY 2 (New York) 05/18/2022 4EA16-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
G0526 Content of the comprehensive assessment Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
▼ 337442 Northern Lights Health Care Partnership, Inc. 8101 State Hwy 68 Ogdensberg NY 2 (New York) 06/05/2019 5ASQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0824 Supervising HH aide services Element
G0978 Must have a written agreement Element