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
▼ 337450 Amber Court At Home, Llc 7424 13th Avenue Brooklyn NY 2 (New York) 11/25/2020 OIEU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0418 Patient's or legal representative's signature Element
G0550 At discharge Element
G0598 Discharge plans communication Element
G0718 Communication with physicians Element
▼ 337450 Amber Court At Home, Llc 7424 13th Avenue Brooklyn NY 2 (New York) 08/21/2020 QIKY11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
▼ 337451 Your Choice At Home, Inc 380 Henry Street Brooklyn NY 2 (New York) 08/03/2023 60AA3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337451 Your Choice At Home, Inc 380 Henry Street Brooklyn NY 2 (New York) 08/21/2020 VHLN11 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
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
G0708 Development and evaluation of plan of care Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 337453 United Hebrew Of New Rochelle Certified Home Health Agency, Inc. 40 Willow Drive New Rochelle NY 2 (New York) 11/30/2023 61A24-H1 Focused Infection Control, 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
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 337453 United Hebrew Of New Rochelle Certified Home Health Agency, Inc. 40 Willow Drive New Rochelle NY 2 (New York) 01/14/2021 QHMD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0684 Infection control 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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 337453 United Hebrew Of New Rochelle Certified Home Health Agency, Inc. 40 Willow Drive New Rochelle NY 2 (New York) 02/02/2018 8THF11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention 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
G0606 Integrate all services Element
▼ 337455 Alpine Home Health Care, Llc 50 Lakefront Boulevard, Suite 220 Buffalo NY 2 (New York) 07/17/2019 T8RI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0852 Information to the state survey agency Standard
G0862 Laboratory services/CLIA waivers Standard
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0516 Skilled professional performs assessment Element
G0520 5 calendar days after start of care Element
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
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0598 Discharge plans communication Element
G0652 Activities lead to an immediate correction Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 347001 Liberty Healthcare Group, Llc 420 Eastwood Rd Suite 101 Wilmington NC 4 (Atlanta) 09/17/2025 1D6959-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
▼ 347001 Liberty Healthcare Group, Llc 420 Eastwood Rd Suite 101 Wilmington NC 4 (Atlanta) 01/25/2023 389C2-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0710 Provide services in the plan of care Element