S&C QCOR ICF-IID 2567s
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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
▼ 03G012 Arizona Training Program Of Coolidge - 50 Oasis Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 07/23/2020 6D5211 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0322 Physician services Standard
▼ 03G012 Arizona Training Program Of Coolidge - 50 Oasis Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/19/2019 1D3L21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0291 Emergency lighting Standard
K0372 Subdivision of building spaces ? smoke barrier construction Standard
K0712 Fire drills Standard
K0761 Maintenance, inspection & testing - doors Standard
▼ 03G012 Arizona Training Program Of Coolidge - 50 Oasis Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/18/2019 1D3L11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0148 Communication with clients, parents & Standard
W0154 Staff treatment of clients Standard
W0157 Staff treatment of clients Standard
W0314 Drug usage Standard
W0315 Drug usage Standard
W0316 Drug usage Standard
W0322 Physician services Standard
W0324 Physician services Standard
W0326 Physician services Standard
W0368 Drug administration Standard
W0440 Evacuation drills Standard
W0454 Infection control Standard
W0455 Infection control Standard
▼ 03G013 Arizona Training Program Of Coolidge - 30 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/14/2023 YIMO21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0353 Sprinkler system - maintenance and testing Standard
K0363 Corridor - doors Standard
K0918 Essential electrical systems ? generator or alternate source Standard
K0926 Gas equipment - qualifications and training Standard
▼ 03G013 Arizona Training Program Of Coolidge - 30 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/04/2023 YIMO11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0369 Drug administration Standard
▼ 03G013 Arizona Training Program Of Coolidge - 30 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 01/07/2022 89C011 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0149 Staff treatment of clients Standard
W0153 Staff treatment of clients Standard
W0251 Program implementation Standard
W0454 Infection control Standard
▼ 03G013 Arizona Training Program Of Coolidge - 30 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 01/06/2022 89C021 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0363 Corridor - doors Standard
K0712 Fire drills Standard
▼ 03G013 Arizona Training Program Of Coolidge - 30 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 03/19/2019 42C911 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0149 Staff treatment of clients Standard
W0454 Infection control Standard
W0474 Meal services Standard
▼ 03G013 Arizona Training Program Of Coolidge - 30 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 01/05/2018 PKFW21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0353 Sprinkler system - maintenance and testing Standard
K0712 Fire drills Standard
K0920 Electrical equipment ? power cords and extension cords Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 09/18/2024 NUI911 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0149 Staff treatment of clients Standard
W0240 Individual program plan Standard
W0331 Nursing services Standard