When Everest began working with Bishop in July 2024, the facility faced imminent closure by the New York Department of Health (NY DOH) due to poor survey performance, prolonged time on the Special Focus Facility (SFF) list, and ongoing instability. At the time, Bishop had received 25 citations, with the highest severity at level K.
Everest conducted a comprehensive assessment, including a root cause analysis of the facility’s operations and clinical systems. Based on the findings, we developed a strategic plan to address performance issues and achieve graduation from the SFF list. In collaboration with clinical and operational leaders from Centers, Everest helped restore clinical systems and implement operational improvements. As a result, Bishop successfully cleared all 25 citations on the first re-visit.
In December 2024, Bishop underwent its six-month annual survey, achieving outstanding results—reducing citations to just nine, with the highest severity at level E. Both the Centers for Medicare & Medicaid Services (CMS) and NY DOH recognized Bishop as a model for effectively utilizing resources to enhance quality of care. With a successful revisit, the facility is now focused on the next phase: graduating from the SFF list by June 2025.
Everest has implemented a structured plan to sustain these improvements, incorporating daily progress calls and ongoing strategic adjustments to strengthen clinical systems further.
Once considered one of the lowest-performing centers in New York, Bishop is now on track to achieve a remarkable turnaround—graduating from the SFF list within a year of Everest’s engagement.