S&C QCOR ICF-IID 2567s
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ICF-IID 2567s
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Time Interval

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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
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 02/20/2025 5ZIO11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0183 Facility staffing Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 01/16/2025 H7D711 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0129 Protection of clients rights Standard
W0149 Staff treatment of clients Standard
W0184 Facility staffing Standard
W0249 Program implementation Standard
W0331 Nursing services Standard
W0339 Nursing services Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 10/25/2024 YQ6Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0339 Nursing services Standard
W0344 Nursing staff Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 05/26/2023 YQRJ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0015 Subsistence needs for staff and patients Standard
K0918 Essential electrical systems ? generator or alternate source Standard
K0923 Electrical equipment ? ground-fault circuit-interrupter protection Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/07/2022 WGEQ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0158 Facility staffing Condition
W0153 Staff treatment of clients Standard
W0186 Direct care staff Standard
W0194 Staff training program Standard
W0436 Space and equipment Standard
W0441 Evacuation drills Standard
W0454 Infection control Standard
W0481 Menus Standard
W0508 Covid-19 vaccination of facility staff Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/07/2022 WGEQ21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0211 Means of egress - general Standard
K0324 Cooking facilities Standard
K0712 Fire drills Standard
K0914 Electrical systems - maintenance and testing Standard
K0923 Electrical equipment ? ground-fault circuit-interrupter protection Standard
K0926 Gas equipment - qualifications and training Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 07/23/2020 KQ6U11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0159 Qidp Standard
W0339 Nursing services Standard
W0454 Infection control Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 12/18/2019 YEMI11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0249 Program implementation Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 12/13/2018 BT8C21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
E0026 Roles under a waiver declared by secretary Standard
E0033 Methods for sharing information Standard
E0034 Information on occupancy/needs Standard
K0291 Emergency lighting Standard
K0353 Sprinkler system - maintenance and testing Standard
K0355 Portable fire extinguishers Standard
K0926 Gas equipment - qualifications and training Standard
▼ 03G010 Arizona Training Program Of Coolidge - 10 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 12/05/2018 BT8C11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0194 Staff training program Standard
W0242 Individual program plan Standard
W0368 Drug administration Standard
W0445 Evacuation drills Standard