S&C QCOR ICF-IID 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
ICF-IID 2567s
Selection Criteria ▸

Time Interval

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

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 ICF-IID 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 and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 01/11/2024 V3NO11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
W0149 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 11/27/2023 P93R11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 09/13/2023 Y20J11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0274 Mgmt of inappropriate client behavior Standard
W0368 Drug administration Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 09/13/2023 Y20J21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0342 Fire alarm system - initiation Standard
K0920 Electrical equipment ? power cords and extension cords Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 11/08/2022 RG7511 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0251 Program implementation Standard
W0274 Mgmt of inappropriate client behavior Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 07/12/2022 R71J11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0149 Staff treatment of clients Standard
W0189 Staff training program Standard
W0251 Program implementation Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 07/12/2022 R71J21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0920 Electrical equipment ? power cords and extension cords Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 01/07/2021 SVIA21 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial comments - not a deficiency citation Memo
K0321 Hazardous areas - enclosure Standard
K0325 Alcohol based hand rub dispenser (abhr) Standard
K0353 Sprinkler system - maintenance and testing Standard
K0918 Essential electrical systems ? generator or alternate source Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 12/18/2020 SVIA11 Complaint, Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
E0026 Roles under a waiver declared by secretary Standard
E0030 Names and contact information Standard
E0034 Information on occupancy/needs Standard
E0036 Ep training and testing Standard
E0037 Ep training program Standard
W0111 Client records Standard
W0128 Protection of clients rights Standard
W0251 Program implementation Standard
W0259 Program monitoring & change Standard
W0324 Physician services Standard
W0331 Nursing services Standard
W0361 Pharmacy services Standard
W0368 Drug administration Standard
W0376 Drug administration Standard
W0390 Drug labeling Standard
W0446 Evacuation drills Standard
▼ 03G008 Hacienda De Los Angeles 1402 East South Mountain Avenue Phoenix AZ 9 (San Francisco) 09/18/2019 JM8511 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0189 Staff training program Standard