S&C QCOR ICF-IID 2567s
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ICF-IID 2567s
Selection Criteria ▸

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
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 12/09/2025 7IOE11 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0127 Protection of clients rights Standard
W0149 Staff treatment of clients Standard
W0382 Drug storage and recordkeeping Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 02/11/2025 33K811 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0454 Infection control Standard
W0473 Meal services Standard
W0474 Meal services Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 11/03/2023 5GPX11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0454 Infection control Standard
W0477 Menus Standard
W0488 Dining areas and service Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 11/01/2023 5GPX21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
K0161 Building construction type and height Standard
K0347 Smoke detection Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 09/29/2022 PCR611 Complaint
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0102 Governing body and management Condition
W0158 Facility staffing Condition
W0104 Governing body Standard
W0186 Direct care staff Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 07/15/2022 E37Q11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0341 Nursing services Standard
W0460 Food and nutrition services Standard
W0508 Covid-19 vaccination of facility staff Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 05/27/2021 IT7M11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
W0341 Nursing services Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 08/25/2020 CBS911 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
W0000 Initial comments - not a deficiency citation Memo
W0341 Nursing services Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 01/24/2020 37FL11 Recertification
Deficiency Tag Deficiency Description Tag Type
W0000 Initial comments - not a deficiency citation Memo
W0104 Governing body Standard
▼ 04G003 Booneville Human Development Center 87 Reed Road, Hwy 116 South Booneville AR 6 (Dallas) 01/23/2020 37FL21 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial comments - not a deficiency citation Memo
K0000 Initial comments - not a deficiency citation Memo
KS100 General requirements - other Standard