S&C QCOR Hospice 2567s
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Hospice 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data are available from October 2021 through March 2026.

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 Hospice 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

Use these filters if you want to search by a specific CMS Certification Number (CCN).

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. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
▼ 331514 Hospice Of St Lawrence Valley Inc 6805 Us Route 11 Potsdam NY 2 (New York) 10/17/2024 State Agency 61D4A-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0773 Hospice Plan Of Care Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 10/07/2021 State Agency FSJ512 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 10/07/2021 State Agency FSJ522 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0712 Fire Drills Standard
K0918 Essential Electrical Systems ? Generator Or Alternate Source Standard
K0920 Electrical Equipment ? Power Cords And Extension Cords Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 10/21/2021 State Agency X6Q911 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0698 Label Dispose Storage Drugs Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 03/26/2024 State Agency 6286E-L1 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0133 Multiple Occupancies - Construction Type Standard
K0223 Doors With Self-Closing Devices Standard
K0271 Discharge From Exits Standard
K0321 Hazardous Areas - Enclosure Standard
K0324 Cooking Facilities Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 03/26/2024 State Agency 6286E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 12/31/2024 State Agency 6286E-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0133 Multiple Occupancies - Construction Type Standard
K0223 Doors With Self-Closing Devices Standard
K0271 Discharge From Exits Standard
K0321 Hazardous Areas - Enclosure Standard
K0324 Cooking Facilities Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
▼ 331515 Hospice Of Jefferson County, Inc. 1398 Gotham Street Watertown NY 2 (New York) 12/31/2024 State Agency 6286E-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 331519 Visiting Nurse Service Of New York Hospice Care 220 E 42nd Street, 7th Floor New York NY 2 (New York) 10/22/2021 State Agency 7ECZ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0625 Hospice Aide Assignments And Duties Standard
▼ 331519 Visiting Nurse Service Of New York Hospice Care 220 E 42nd Street, 7th Floor New York NY 2 (New York) 02/17/2022 State Agency QBU811 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0500 Patients' Rights Condition
L0512 Rights Of The Patient Standard