S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 407030 Luz De Esperanza Home Care Carr 668 Bda Felix Cordova Davila 126 Alt De Luchetti PR 2 (New York) 11/21/2025 1DBC87-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0730 Medical social services supervised by MSW Element
▼ 407030 Luz De Esperanza Home Care Carr 668 Bda Felix Cordova Davila 126 Alt De Luchetti PR 2 (New York) 10/13/2022 5DF2B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
▼ 407030 Luz De Esperanza Home Care Carr 668 Bda Felix Cordova Davila 126 Alt De Luchetti PR 2 (New York) 10/25/2019 DHN911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0406 Patient rights Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0724 Supervise skilled professional assistants Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days Element
G0432 Make complaints to the HHA Element
G0450 Access to auxiliary aids and language service Element
G0482 Mistreatment, neglect or abuse Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
▼ 407031 Dd Home Care San Francisco De Asis, Inc Calle Rafols 125 Quebradillas PR 2 (New York) 01/29/2025 6531C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
▼ 407031 Dd Home Care San Francisco De Asis, Inc Calle Rafols 125 Quebradillas PR 2 (New York) 02/04/2022 3840F-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
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard
▼ 407033 Angeles Visitantes, Inc 6 Calle La Cruz Juana Diaz PR 2 (New York) 11/14/2023 616FE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0852 Information to the state survey agency Standard
G0860 Licensing Standard
G0942 Governing body Standard
G1010 Contents of clinical record Standard
G1030 Retrieval of records Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0438 Have a confidential clinical record Element
G0444 State toll free HH telephone hotline Element
G0454 HHA can no longer meet the patient's needs Element
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G0590 Promptly alert relevant physician of changes Element
G0622 Name/contact information of clinical manager Element
G0720 Participate in the HHA's QAPI program; Element
G0722 Participate in HHA-sponsored in-service Element
G0984 In accordance with current clinical practice Element
▼ 407033 Angeles Visitantes, Inc 6 Calle La Cruz Juana Diaz PR 2 (New York) 06/24/2021 MZFN11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0432 Make complaints to the HHA Element
G0536 A review of all current medications Element
▼ 407033 Angeles Visitantes, Inc 6 Calle La Cruz Juana Diaz PR 2 (New York) 08/30/2018 L8TD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G1010 Contents of clinical record Standard
▼ 407050 Home Health La Monserrate Inc Avenida 5 De Diciembre Num 100 Sabana Grande PR 2 (New York) 11/14/2024 64B1B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0860 Licensing Standard
G0444 State toll free HH telephone hotline Element
G0450 Access to auxiliary aids and language service Element
G0520 5 calendar days after start of care Element
G0522 Eligibility for Medicare home health benefit Element
G0656 Improvements are sustained Element
G0716 Preparing clinical notes Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
▼ 407050 Home Health La Monserrate Inc Avenida 5 De Diciembre Num 100 Sabana Grande PR 2 (New York) 02/10/2022 38480-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
G0514 RN performs assessment Element
G0606 Integrate all services Element
G0984 In accordance with current clinical practice Element