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Rebekah Certified Home Health Agency

(718) 863-62001040 Havemeyer Avenue, Bronx, NY 10462
CMS Certification Number 337430 · Non-Profit · Medicare-certified since 10/04/2007
40deficiencies since 2018
0serious
3inspections
2CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2025-01-17

· Recertification · 14 deficiencies · CMS source report (PDF)
Moderate Accuracy Of Encoded Oasis Data

The agency failed to ensure the encoded OASIS (The Outcome and Assessment Information Set) assessments accurately reflect each patient's status at the time of the assessment.

Source: CMS Form 2567, inspection 2025-01-17, tag G0374 · view on CMS
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Moderate Plan Of Care

The agency failed to ensure that all patients receive services as documented in their individualized plan of care.

Source: CMS Form 2567, inspection 2025-01-17, tag G0572 · view on CMS
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Moderate Infection Control Education

The agency failed to ensure that all healthcare personnel follow standard infection control precautions.

Source: CMS Form 2567, inspection 2025-01-17, tag G0686 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to ensure all Home Health Aides receive a complete paraprofessional plan of care.

Source: CMS Form 2567, inspection 2025-01-17, tag G0798 · view on CMS
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Minor Provide Contact Info Other Services

The agency failed to provide the patient with contact information for other agencies or providers who may be able to provide care.

Source: CMS Form 2567, inspection 2025-01-17, tag G0468 · view on CMS
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Minor Rn Performs Assessment

The agency failed to ensure all assessments were conducted within the required time frames for all patients.

Source: CMS Form 2567, inspection 2025-01-17, tag G0514 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The agency failed to ensure that the assessment is accurate.

Source: CMS Form 2567, inspection 2025-01-17, tag G0528 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure that all medications were reviewed and accurately documented in the patient's plan of care.

Source: CMS Form 2567, inspection 2025-01-17, tag G0536 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure each patient's individualized plan of care include all the required information.

Source: CMS Form 2567, inspection 2025-01-17, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure that treatments are provided as ordered by a physician.

Source: CMS Form 2567, inspection 2025-01-17, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to ensure the physician are promptly alerted to any changes in the patient's condition or needs.

Source: CMS Form 2567, inspection 2025-01-17, tag G0590 · view on CMS
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Minor Other Pertinent Instructions

The agency failed to provide pertinent instruction related to the patient's care.

Source: CMS Form 2567, inspection 2025-01-17, tag G0620 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to provide services that are ordered by the physician as indicated in the plan of care.

Source: CMS Form 2567, inspection 2025-01-17, tag G0710 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure that all Home Health Aides receive onsite supervision every 14 days.

Source: CMS Form 2567, inspection 2025-01-17, tag G0808 · view on CMS
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Inspection 2022-02-11

· Recertification · 8 deficiencies · CMS source report (PDF)
Moderate Review And Revision Of The Plan Of Care

The agency failed to ensure the plan of care is reviewed and revised.

Source: CMS Form 2567, inspection 2022-02-11, tag G0586 · view on CMS
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Minor Rn Performs Assessment

The agency failed to ensure the Register Nurse conducts the initial assessment visit within 48 hours of referral to determine the immediate care and support needs of the patient.

Source: CMS Form 2567, inspection 2022-02-11, tag G0514 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure an accurate review of all the medications the patient is using.

Source: CMS Form 2567, inspection 2022-02-11, tag G0536 · view on CMS
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Minor Last 5 Days Of Every 60 Days Unless:

The agency failed to ensure that the comprehensive assessments were updated within the last five (5) days of the sixty day (60) Certification Period ).

Source: CMS Form 2567, inspection 2022-02-11, tag G0546 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the comprehensive Plan of Care is develop and addresses all patient care needs.

Source: CMS Form 2567, inspection 2022-02-11, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure treatments are administered only as ordered by the physician.

Source: CMS Form 2567, inspection 2022-02-11, tag G0580 · view on CMS
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Minor Provide Services In The Plan Of Care

Staff interview the agency failed to provide services that are ordered by the physician as indicated in the plan of care.

Source: CMS Form 2567, inspection 2022-02-11, tag G0710 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure that all home health aides (hha) providing services to patients receiving skilled services are supervised no less frequently than every two weeks.

Source: CMS Form 2567, inspection 2022-02-11, tag G0808 · view on CMS
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Inspection 2019-03-15

· Recertification · 18 deficiencies · CMS source report (PDF)
Moderate Accuracy Of Encoded Oasis Data

The agency failed to ensure all encoded Oasis assessments accurately reflect each patient's status at the time of the assessment.

Source: CMS Form 2567, inspection 2019-03-15, tag G0374 · view on CMS
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Moderate Plan Of Care

The agency failed to ensure that all patient received the care that is written in the individualized Plan of Care.

Source: CMS Form 2567, inspection 2019-03-15, tag G0572 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The agency failed to ensure all home health aides (hha) are provided with written patient care instructions for each patient receiving hha services.

Source: CMS Form 2567, inspection 2019-03-15, tag G0798 · view on CMS
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Minor Hha Administrator Contact Information

Grievance procedure review and interviews the agency failed to ensure all the Administrator's contact information was included in order to receive complaints.

Source: CMS Form 2567, inspection 2019-03-15, tag G0414 · view on CMS
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Minor Be Free From Abuse

The agency failed to ensure the Bill of Rights included all the information for the right to be free from abuse.

Source: CMS Form 2567, inspection 2019-03-15, tag G0430 · view on CMS
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Minor Make Complaints To The Hha

The agency failed to ensure the time frames for reviewing and the resolution of complaints were made available.

Source: CMS Form 2567, inspection 2019-03-15, tag G0432 · view on CMS
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Minor Participate In Care

The agency failed to ensure all patients were notified of the services, frequency of services and the potential liability of each service before care is started.

Source: CMS Form 2567, inspection 2019-03-15, tag G0434 · view on CMS
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Minor Payment From Federally Funded Programs

The agency failed to ensure all patients are informed in writing of services, frequency of services and potential financial liability for each service provided before care is initiated.

Source: CMS Form 2567, inspection 2019-03-15, tag G0440 · view on CMS
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Minor Access To Auxiliary Aids And Language Service

The Admission Packet and interviews the agency failed to ensure all patients were informed of the right to have access auxiliary aids and language services to help them understand information provided and how to access these services.

Source: CMS Form 2567, inspection 2019-03-15, tag G0450 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure that all patients medications were accurately documented in each patient's Plan of Care.

Source: CMS Form 2567, inspection 2019-03-15, tag G0536 · view on CMS
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Minor At Discharge

The agency failed to ensure a Discharge OASIS (Outcome Assessment) was completed for all discharged patients.

Source: CMS Form 2567, inspection 2019-03-15, tag G0550 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure that a complete and accurate Plan Of Care was developed for all patients.

Source: CMS Form 2567, inspection 2019-03-15, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure all treatments administered are administered as ordered by a physician.

Source: CMS Form 2567, inspection 2019-03-15, tag G0580 · view on CMS
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Minor Verbal Orders

The agency failed to ensure all orders documented in the clinical record include a signature, date and time of the orders.

Source: CMS Form 2567, inspection 2019-03-15, tag G0584 · view on CMS
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Minor Communication With Physicians

The agency failed to ensure ongoing communication is maintained with each patient's physician . This was evident for one (1) of seventeen (17) clinical records reviewed (Patient #4) Failure to ensure ongoing communication is maintained with each patient's physician has the potential for negative…

Source: CMS Form 2567, inspection 2019-03-15, tag G0718 · view on CMS
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Minor Nursing Services Supervised By Rn

The agency failed to ensure the Licensed Practical Nurses (LPN) were adequately supervised by the Registered Nurses and followed the guidelines of the Office of Professions Scope of Practice for the LPN and RN.

Source: CMS Form 2567, inspection 2019-03-15, tag G0726 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure that all home health aides (hha) providing services to patients receiving skilled services are supervised no less frequently than every two weeks This was evident for two (2) of (5) clinical records reviewed with aide services.

Source: CMS Form 2567, inspection 2019-03-15, tag G0808 · view on CMS
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Minor Discharge And Transfer Summaries

The agency failed to ensure discharge summaries are completed for discharged patients and the complotted summary is sent to the primary care practitioner.

Source: CMS Form 2567, inspection 2019-03-15, tag G1022 · view on CMS
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