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
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 05/24/2023 EIQV11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0368 Drug administration Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 05/24/2023 EIQV21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
E0015 Subsistence needs for staff and patients Standard
K0321 Hazardous areas - enclosure Standard
K0342 Fire alarm system - initiation Standard
K0918 Essential electrical systems ? generator or alternate source Standard
K0923 Electrical equipment ? ground-fault circuit-interrupter protection Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 04/24/2023 YXBG11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0249 Program implementation Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 03/04/2022 TSSK21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0345 Fire alarm system - testing and maintenance Standard
K0353 Sprinkler system - maintenance and testing Standard
K0712 Fire drills Standard
K0914 Electrical systems - maintenance and testing Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 03/03/2022 TSSK11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0153 Staff treatment of clients Standard
W0184 Facility staffing Standard
W0192 Staff training program Standard
W0441 Evacuation drills Standard
W0481 Menus Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 11/15/2019 3BNR21 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
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 12/13/2018 EB4M21 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
K0511 Utilities - gas and electric Standard
K0926 Gas equipment - qualifications and training Standard
▼ 03G014 Arizona Training Program Of Coolidge - 20 Sandstone Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 12/12/2018 EB4M11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0327 Physician services Standard
▼ 03G015 Arizona Training Program At Coolidge - 30 Oasis Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 02/01/2022 CJ6K11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0127 Protection of clients rights Standard
W0140 Client finances Standard
W0149 Staff treatment of clients Standard
▼ 03G015 Arizona Training Program At Coolidge - 30 Oasis Court 2800 N Hwy 87 Coolidge AZ 9 (San Francisco) 03/30/2021 2CG521 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
K0293 Exit signage Standard
K0341 Fire alarm system - installation Standard
K0712 Fire drills Standard
K0914 Electrical systems - maintenance and testing Standard
K0920 Electrical equipment ? power cords and extension cords Standard