S&C QCOR Hospice 2567s
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Hospice 2567s
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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
▼ 331540 County Of Lewis 7785 North State Street Lowville NY 2 (New York) 08/17/2022 State Agency 1WJ712 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0524 Content Of Comprehensive Assessment Standard
L0552 Review Of The Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 331540 County Of Lewis 7785 North State Street Lowville NY 2 (New York) 02/21/2025 State Agency 655C1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0526 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0562 Program Scope Standard
▼ 331540 County Of Lewis 7785 North State Street Lowville NY 2 (New York) 12/04/2025 State Agency 655C1-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0526 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0562 Program Scope Standard
▼ 331544 Good Shepherd Hospice 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 01/19/2022 State Agency VLL211 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0778 Coordination Of Services Standard
▼ 331544 Good Shepherd Hospice 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 02/02/2022 State Agency VLL221 Recertification
Deficiency Tag Deficiency Description Tag Type
K0351 Sprinkler System - Installation Standard
K0363 Corridor - Doors Standard
▼ 331544 Good Shepherd Hospice 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 12/20/2022 State Agency VLL2-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0502 Notice Of Rights And Responsibilities Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0778 Coordination Of Services Standard
▼ 331544 Good Shepherd Hospice 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 12/11/2023 State Agency 61B1F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
▼ 331544 Good Shepherd Hospice 110 Bi-County Boulevard, Suite 114 Farmingdale NY 2 (New York) 01/13/2025 State Agency 6516A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0522 Initial Assessment Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0591 Nursing Services Standard
L0597 Counseling Services Standard
L0777 Coordination Of Services Standard
▼ 331546 East End Hospice, Inc. 481 Westhampton-Riverhead Road Westhampton Beach NY 2 (New York) 12/09/2021 TJC 439725335 Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0674 Content Standard
L0702 Use And Mintenance Of Equipment And Supplies Standard
▼ 331546 East End Hospice, Inc. 481 Westhampton-Riverhead Road Westhampton Beach NY 2 (New York) 01/27/2023 TJC 441707425 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0674 Content Standard