The hotline is manned from 8:30 a.m. to 4:45 p.m. Monday through Friday. Complaints and incidents may also be submitted by fax (518-408-5309) or by mail to: Division of Home and Community Based Services 875 Central Avenue Albany, NY 12206 Alternatively, you may send an e-mail to homecare@health.ny.gov with the nature of the complaint.
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Medicare and Other Home Care Services
- Agency: New York State Department of Health.
- Division: Home Health Hotline.
- Phone Number: (800) 628-5972.
- Business Hours: Monday - Friday: 10 AM - 4 PM.
How do you report a problem with a nursing home?
Reporting & resolving nursing home problems. If you have a problem at the nursing home, talk to the staff involved. If the problem isn't resolved, ask to talk with one of these: The supervisor. The social worker. The director of nursing. The administrator. Your doctor.
Who is responsible for investigating nursing homes in New York State?
The New York State Department of Health, Nursing Home and ICF/MR Surveillance is responsible for investigating complaints and incidents for nursing homes in New York State, which are related to State and/or Federal regulatory violation. A complaint against a nursing home should be submitted in writing by the complainant.
How do I find a nursing home's facility characteristics report?
To go directly to a related nursing home's Facility Characteristics Report page, click on the facility's name.
How do I obtain an individual cost report from Medicare?
Individual cost reports may be requested from the Medicare Administrative contractors via the Freedom of Information Act (FOIA). For more information on this process, visit the FOIA page.
Who is responsible for investigating nursing home complaints in New York State?
The New York State Department of Health, Nursing Homes and ICF/IID Surveillance is responsible for investigating complaints and incidents for nursing homes in New York State, which are related to State and/or Federal regulatory violation.
How are nursing home complaints reviewed?
All complaint and incidents received about nursing homes are reviewed by the Department through the Centralized Complaint Intake Unit with appropriate action taken. Some investigations require Department investigators to conduct interviews, review medical records and other facility documentation, and perform other activities onsite at the nursing home. Other investigations will be conducted by the Complaint Resolution Unit comprised of clinical professionals, who will contact the facility to obtain medical records, facility records, and other information to determine the outcome of the investigation.
What is a nursing home investigation?
The investigation will determine whether a facility has failed to meet federal and/or state requirements. In cases where the Department determines the nursing home violates regulation, the Department will issue a citation to the nursing home.
Who is responsible for investigating nursing home complaints in New York?
The New York State Department of Health, Nursing Home and ICF/MR Surveillance is responsible for investigating complaints and incidents for nursing homes in New York State, which are related to State and/or Federal regulatory violation. A complaint against a nursing home should be submitted in writing by the complainant.
How to contact a nursing home in Albany NY?
If you are unable to submit your complaint by using the Nursing Home Complaint Form , then you may contact the Nursing Home Complaint hotline (1-888-201-4563) which can be called 24 hours per day, seven days per week.
What is a correction date for nursing home citation?
The correction date identifies when the citation has been corrected, as recognized by the Department of Health. Nursing Home Administrators are required to send in a Plan of Correction, which includes an anticipated correction date. The Department of Health verifies the date when the citation was indeed corrected by the facility. If the citation (s) is more severe, then a Post Certification Survey occurs to verify the actual date when the citation was corrected. Correction dates in some instances may not be available for more recent surveys that have not fully concluded.
What is SOFA in nursing home?
The State Office for the Aging (SOFA) employs a representative in each county of New York State to work on behalf of nursing home residents to prevent problems and help solve them when they arise. The representative, or ombudsman, that works with this nursing home is listed, including telephone and e-mail information, if available. The SOFA can be reached at 1-800-342-9871.
What is a facility characteristics report?
This information is intended to give the reader an overview of a specific facility’s geographic location, bed capacity, type of ownership, types of services it is approved to provide, and other characteristics that may be useful when selecting a nursing home for a loved one.
What is substandard quality of care?
Substandard Quality of Care indicates a systemic deficiency in quality of care within a facility. Only citations related to the quality of residents' care can have this designation. A citation pertaining to skin wound care is one example. In addition, for a citation to receive this designation, the deficiency must be severe and/or impact several residents.
How many types of ownership are there in New York?
This is actually a combination of two characteristics, the ownership class followed by the ownership type . In New York State, there are three classes of ownership: Proprietary. Voluntary. Public.
What happens when a home care agency violates regulation?
In cases where the Department determines the agency violated regulation, the Department will issue a citation to the home care agency. The agency then must submit a plan of correction that is acceptable to the Department and correct the deficient practice.
What is the New York State Department of Health?
The New York State Department of Health, Division of Home and Community Based Care is responsible for investigating complaints and incidents for home care agencies and hospices in New York State.
Can a complaint contain more than one allegation?
Some complaints and incidents contain more than one allegation. If an investigation determines that any of the allegations did occur, then the complaint is sustained. Further, the investigation will determine whether a provider has failed to meet federal and/or state requirements.
How to contact the Centralized Complaint Intake Program?
Should you have questions, please contact the Centralized Complaint Intake Program at 1-888-201-4563, Monday through Friday 8:30am - 4:45pm, excluding holidays. *** This form is for Nursing Home complaints only. Complaints about Adult homes and Assisted Living facilities can be reported to the intake program at: 1 866 893 6772 ***.
Can you file a complaint against a nursing home?
Anyone can file a complaint against a Nursing Home. All complaints are confidential and can be made anonymously. Due to HIPPA regulations, the department is restricted from releasing patient protected information regarding a complaint case.
What is a Medicare cost report?
Medicare-certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor (MAC). The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data.
Is CMS accurate?
These reports are a true and accurate representation of the data on file at CMS. Authenticated information is only accurate as of the point in time of validation and verification. CMS is not responsible for data that is misrepresented, misinterpreted or altered in any way. Derived conclusions and analysis generated from this data are not to be considered attributable to CMS or HCRIS.
Home Health Agencies
This page provides basic information about being certified as a Medicare and/or Medicaid home health provider and includes links to applicable laws, regulations, and compliance information.
A Home Health Agency may be a public, nonprofit or proprietary agency or a subdivision of such an agency or organization
Public agency is an agency operated by a State or local government. Examples include State-operated HHAs and county hospitals. For regulatory purposes, “public” means “governmental.”
Home Health Care
Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF). The goal of home health care is to treat an illness or injury.
Home Healthcare Agency Compare
Home Health Compare has information about the quality of care provided by "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" means the home health agency is approved by Medicare and meets certain federal health and safety requirements.
Contents
Facility Characteristics Report
- The Facility Characteristics Report presents general information about the nursing home. This information is intended to give the reader an overview of a specific facility’s geographic location, bed capacity, type of ownership, types of services it is approved to provide, and other characteristics that may be useful when selecting a nursing home for a loved one. The informati…
Inspection Report
- The New York State Department of Health, Division of Quality and Surveillance for Nursing Homes and ICFs/MR, licenses and conducts surveys and investigations of the quality of care and life for the approximately 117,000 people residing in nursing homes in the State. Nursing home residents include the frail elderly with chronic disabilities; infants with multiple impairments; young adults …
Complaint and Incident Summary Report
- Overview
The New York State Department of Health, Nursing Home and ICF/MR Surveillance is responsible for investigating complaints and incidents for nursing homes in New York State, which are related to State and/or Federal regulatory violation. A complaint against a nursing home should be sub… - Nursing Home Complaint Investigations
All complaint and incidents received about nursing homes are reviewed by the Department through the Centralized Complaint Intake Unit with appropriate action taken. The most serious complaints and incidents require Department investigators to conduct interviews, review medica…
Enforcement Summary Report
- State Fines
Section 12 of the Public Health Law allows the Department of Health to assess fines against nursing homes that have been cited for noncompliance with federal or state regulations that resulted in harm to residents, represents substandard quality of care, or place residents at imme…
Deficiency Categories
- Deficiency categories are found on the Survey Summary Report, the Complaint Summary Report, and the Enforcement Summary Report. There are six categories, as listed below. "Other Services" includes dental, pharmacy and specialized rehabilitation. 1. Administration 2. Quality of Care 3. Resident Rights 4. Dietary Services 5. Physical Environment 6. Other Services Administration 1. …